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Mr. Fredric M Harwin, MSC,BCO,BADO,FAMI
Ocularist in Portland, Oregon
NPI 1689669624

Fredric M Harwin is a Ocularist based in Portland, OR and is specialized in Ocularist. Fredric M Harwin practices in Portland, OR and has the professional credentials of MSC,BCO,BADO,FAMI. The NPI Number for Fredric M Harwin is 1689669624 and holds a License No. 51680289 (Oregon).

The current practice location address for Fredric M Harwin is 2525 Nw Lovejoy St, Portland, OR and can be reached out via phone at 503-229-8490 and via fax at 503-224-0740.

Location: 2525 Nw Lovejoy St, Portland, OR, 97210-2859
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Provider Profile Details
NPI Number
1689669624
Provider Name
Fredric M Harwin
Credential
MSC,BCO,BADO,FAMI
Provider Entity Type
Individual
Gender
Male
Address
2525 Nw Lovejoy St, Portland, OR, 97210-2859
Phone Number
503-229-8490
Fax Number
503-224-0740
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500605356 05 OR
01621900001 01 OR REGENCE BCBS DME SUPPLIER
institution
Provider Business Practice Location Address Details
Address
2525 Nw Lovejoy St
City
State
Zip
97210-2859
Phone Number
503-229-8490
Fax Number
503-224-0740
person
Provider Business Mailing Address Details
Address
2525 Nw Lovejoy St
City
State
Zip
97210-2859
Phone Number
503-229-8490
Fax Number
503-224-0740
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
516802-89 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
51680289 (Oregon)
Definition
Definition to come...
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