DR. RAYMOND MARTIN HARRIS (NPI# 1174591879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174591879 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND MARTIN HARRIS |
| Credential | M.D. |
| Practice Address |
500 5th Street Brookings OR 97415 |
| Mailing Address |
94220 4th St Gold Beach OR 97444-7756 |
| Practice Telephone | 5414122000 |
| Practice Fax Number | 5414122081 |
| Mailing Telephone | 5412473000 |
| Mailing Fax Number | 5412473101 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2015-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD167743 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CURRY HEALTH DISTRICT NPI | 1487696985 | 01 |
| OR | 500674435 | 05 | |
| OR | CURRY HEALTH DISTRICT TAX ID | 930937095 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083720148 | Raymond Scott Harris | Chiropractor | 200 E Ramsey, San Antonio, TX 78216 | 2006-08-22 |
| 1851303705 | Raymond Clement Harris | Internal Medicine | C-3121 Mcn, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2006-08-12 |
| 1861995284 | Raymond Harris | Counselor | 77 Millstream Rd, Pine Hill, NJ 08021-6447 | 2018-03-12 |
| Street Address |
500 5TH STREET |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538319355 | Bram Spitael | Physician Assistant | 500 5th Street, Brookings, OR 97415 | 2008-09-29 |
| 1487704813 | Karen Broadbent Morrow | Registered Nurse | 500 5th Street, Brookings, OR 97415 | 2007-01-10 |
| 1083656367 | Curry Health District | Clinic/Center | 500 5th Street, Brookings, OR 97415-9702 | 2006-06-12 |
| 1174588669 | Harm Kraai | Urology | 500 5th Street, Brookings, OR 97415-9702 | 2006-04-19 |
| 1154383933 | Linda S. Brunson | Internal Medicine | 500 5th Street, Brookings, OR 97415-9702 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194775130 | Gerald L. Turner | Pediatrics | 400 22nd Ave., Brookings, SD 57006-2497 | 2006-05-11 |
| 1972553949 | Matt N. Bien | Pediatrics | 400 22nd Ave, Brookings, SD 57006-2450 | 2006-05-11 |
| 1770531725 | Tatiana B Sergeev | Pediatrics | 400 22nd Ave., Brookings, SD 57006-2497 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114558368 | Oregon Pediatrics-oregon City, PC | Pediatrics | 1510 Division St Ste 80, Oregon City, OR 97045-1572 | 2020-01-27 |
| 1962911347 | Bend Kids Pediatrics, LLC | Pediatrics | 2748 Nw Crossing Dr Ste 140, Bend, OR 97703-7179 | 2017-09-28 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1235660176 | Erik Grimm | Pediatrics | 16463 Boones Ferry Rd Ste 400, Lake Oswego, OR 97035-4377 | 2017-03-22 |
| 1891178885 | Snake River Pediatrics | Pediatrics | 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 | 2015-07-08 |
| 1447663810 | Anh Linh Hoang | Pediatrics | 9243 Ne Glisan St, Portland, OR 97220-4533 | 2014-06-03 |
| 1891126538 | Sydmarie Bisenius | Pediatrics | 24850 Se Stark St Ste 150, Gresham, OR 97030-8318 | 2013-12-05 |
| 1427499367 | Elizabeth Bish Young | Pediatrics | 901 Bellwood Ln, Roseburg, OR 97471-9299 | 2013-07-08 |
| 1255771671 | Steven Donald Mcgaughey | Pediatrics | Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 | 2013-06-29 |
| 1508109539 | Ramya Mishra Jariwala | Pediatrics | 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 | 2013-03-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RAYMOND MARTIN HARRIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.