Harbor Health Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2053 Issued in OR

Legal business name

HARBOR HEALTH CLINIC

Practice address

2143 NE Broadway St
Portland, OR 97232-1512

Phone

(844) 884-9648

NPI assigned

Oct 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Angela Potter

Title

Owner

Phone

(844) 884-9648

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1033513932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 NE 15TH AVE",
            "address_2": "232",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122356",
            "telephone_number": "844-884-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 NE BROADWAY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321512",
            "telephone_number": "844-884-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "844-884-9648",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Harbin
• Andrew Ross Harbison, MD
• Thomas W Harbison, M.D.
• Eric Bjorn Harboldt, M.D.
• Harbor Care Corporation
• Harbor of Hope LLC
• Harborstone Behavioral Residence LLC
• Elizabeth Jane Harbottle, M.B., B.CH., B.A.O
• Stephen Paul Harbour, DMD
• Thomas David Harburg, M.D.

• Primary Care Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.