Active NPI
Christine Marie Harrison-Beard, OTR/L
- Occupational Therapist
- Canby, OR
National Provider Identifier
1053713859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 312233
- Practice address
- 1577 S Ivy St
Canby, OR 97013-4334 - Phone
- (503) 266-9810
- NPI assigned
- Sep 23, 2014
- Last updated
- Dec 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 312233 | OR | Primary |
Addresses
Primary practice location
1577 S Ivy St
Canby, OR 97013-4334
Mailing address
2802 SE 33Rd PL
Portland, OR 97202-1433
Phone (503) 621-8954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312233 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1053713859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 SE 33RD PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021433",
"telephone_number": "503-621-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1577 S IVY ST",
"city": "CANBY",
"state": "OR",
"postal_code": "970134334",
"telephone_number": "503-266-9810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON-BEARD",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "312233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canby, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.