David Harris, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5091 Issued in OR

Practice address

3060 SE Stark St
Portland, OR 97214-3053

Phone

(503) 535-4700

Fax

(503) 797-6702

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1144272014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "971-255-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143053",
            "telephone_number": "503-535-4700",
            "fax_number": "503-797-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15423 SE Meadowlark Ln",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972673044",
            "country_code": "US",
            "telephone_number": "503-367-6215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005758",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashylnn Harris
• Brad Wesley Harris, LPC, MA, CADC I
• Brianna Noel Harris, PSS/QMHA-R
• Chandler Harris, MD
• Christine Margarethe Harris, RN
• Eli K Harris
• Erica Harris, PMHNP-BC
• Ivesha Elaine Harris
• Jaclyn Harris, PHARMD
• James E Harris, MD

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.