Provider Demographics
NPI:1114577111
Name:HARRAR, LINN (PT)
Entity Type:Individual
Prefix:
First Name:LINN
Middle Name:
Last Name:HARRAR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 SW 10TH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-5235
Mailing Address - Country:US
Mailing Address - Phone:541-574-1823
Mailing Address - Fax:
Practice Address - Street 1:1111 SW 10TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-5235
Practice Address - Country:US
Practice Address - Phone:541-574-1823
Practice Address - Fax:541-574-4998
Is Sole Proprietor?:No
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR60950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist