Provider Demographics
NPI:1235325010
Name:HARPER, JOHN SCEARS (LAC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:SCEARS
Last Name:HARPER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 NE BROADWAY ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-1872
Mailing Address - Country:US
Mailing Address - Phone:503-282-8600
Mailing Address - Fax:503-287-0967
Practice Address - Street 1:2538 NE BROADWAY ST
Practice Address - Street 2:SUITE C
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1872
Practice Address - Country:US
Practice Address - Phone:503-282-8600
Practice Address - Fax:503-287-0967
Is Sole Proprietor?:No
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC01104171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist