Active NPI
Dr. Russell B Harrison, MD PC
- Primary Care Clinic/Center
- Pendleton, OR
National Provider Identifier
1154764405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD29141
- Legal business name
- DR. RUSSELL B HARRISON, MD PC
- Doing business as
- Harrison Family Medicine
- Practice address
- 702 SW Dorion Ave
Pendleton, OR 97801-2039 - Phone
- (541) 215-1564
- Fax
- (541) 215-1567
- NPI assigned
- Apr 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Russell B Harrison, MD
- Title
- Owner/Operator
- Phone
- (541) 215-1564
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD29141 | OR | Primary |
Addresses
Primary practice location
702 SW Dorion Ave
Pendleton, OR 97801-2039
Mailing address
PO Box 1125
Pendleton, OR 97801-0100
Phone (541) 215-1564
Other names 1
- Harrison Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
707 SW 37th St
Pendleton, OR 97801
Phone (541) 276-3374
1100 Southgate
Ste 2
Pendleton, OR 97801
Phone (541) 215-1564
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pendleton, OR
- NPI 1164409173
-
- Physician Assistant
- Portland, OR
- NPI 1881072775
-
- Physician Assistant
- Pendleton, OR
- NPI 1538189782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1154764405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1125",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978010100",
"telephone_number": "541-215-1564",
"fax_number": "541-215-1567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SW DORION AVE",
"city": "PENDLETON",
"state": "OR",
"postal_code": "978012039",
"telephone_number": "541-215-1564",
"fax_number": "541-215-1567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RUSSELL B HARRISON, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-16",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "RUSSELL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/OPERATOR",
"authorized_official_telephone_number": "541-215-1564",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OR",
"license": "MD29141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Harrison Family Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Harrison Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.