Provider Demographics
NPI:1912198268
Name:HARRINGTON, PAUL (CPO)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10117 SE SUNNYSIDE RD STE L
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-7708
Mailing Address - Country:US
Mailing Address - Phone:360-459-1099
Mailing Address - Fax:360-459-1974
Practice Address - Street 1:10117 SE SUNNYSIDE RD STE L
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-7708
Practice Address - Country:US
Practice Address - Phone:360-459-1099
Practice Address - Fax:360-459-1974
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOI00000445222Z00000X
WAPS00000425224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist