Provider Demographics
NPI:1801161179
Name:HARMAN, LEE MURRAY (RPH)
Entity type:Individual
Prefix:MR
First Name:LEE
Middle Name:MURRAY
Last Name:HARMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 EXPLORER AVE
Mailing Address - Street 2:
Mailing Address - City:MOLALLA
Mailing Address - State:OR
Mailing Address - Zip Code:97038-8397
Mailing Address - Country:US
Mailing Address - Phone:503-869-8415
Mailing Address - Fax:541-672-9314
Practice Address - Street 1:13130 SE 84TH AVE
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9733
Practice Address - Country:US
Practice Address - Phone:503-794-5520
Practice Address - Fax:503-794-5528
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR006571183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist