Provider Demographics
NPI:1942263744
Name:HARMER, PETER ANTHONY (ATC)
Entity Type:Individual
Prefix:PROF
First Name:PETER
Middle Name:ANTHONY
Last Name:HARMER
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 STATE ST
Mailing Address - Street 2:EXERCISE SCIENCE - SPORTS MEDICINE
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3922
Mailing Address - Country:US
Mailing Address - Phone:503-370-6470
Mailing Address - Fax:503-370-6379
Practice Address - Street 1:900 STATE ST
Practice Address - Street 2:EXERCISE SCIENCE - SPORTS MEDICINE
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3922
Practice Address - Country:US
Practice Address - Phone:503-370-6470
Practice Address - Fax:503-370-6379
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer