Provider Demographics
NPI:1821792680
Name:EMILY HARRIS WELLNESS LLC
Entity Type:Organization
Organization Name:EMILY HARRIS WELLNESS LLC
Other - Org Name:GARNET WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS-DEUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:541-510-5945
Mailing Address - Street 1:354 NE GREENWOOD AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-4630
Mailing Address - Country:US
Mailing Address - Phone:541-320-7930
Mailing Address - Fax:
Practice Address - Street 1:354 NE GREENWOOD AVE STE 211
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-4630
Practice Address - Country:US
Practice Address - Phone:541-320-7930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty