Organization Active NPI

Dr. Russell B Harrison, MD PC

  • Primary Care Clinic/Center
  • Pendleton, OR
National Provider Identifier
1154764405
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD29141 Issued in OR
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

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Russell B Harrison, MDNPI 1164409173
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130624000580 OR Part B Supplier - Clinic/Group Practice 1850530841 Receives reassigned benefits from 4 practitioners
Practice locations: Pendleton, OR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.