Provider Demographics
NPI:1356991228
Name:HARBOUR, KAREN L
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:HARBOUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87139 CEDAR FLAT RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478-8631
Mailing Address - Country:US
Mailing Address - Phone:541-726-6988
Mailing Address - Fax:
Practice Address - Street 1:87139 CEDAR FLAT RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97478-8631
Practice Address - Country:US
Practice Address - Phone:541-726-6988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty