Megan Louise Harless, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1404 Issued in OR

Practice address

308 Villa Rd
Newberg, OR 97132-1881

Phone

(503) 538-9431

Fax

(503) 538-2358

NPI assigned

Oct 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Louise Suratt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1396997292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321881",
            "telephone_number": "503-538-9431",
            "fax_number": "503-538-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321881",
            "telephone_number": "503-538-9431",
            "fax_number": "503-538-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "SURATT",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard S Hamblin, PA-C
• Raeann Denise Hamilton, MD
• Courtney Helen Hanks, DPT
• Christopher Hansen, DMD
• Silvia R Hanson
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• Donald L Harr, OD
• Katelin Harrington
• Jacquelynn Carol Harris, D.O.
• Lindsey Kathleen Hartford

• Physician Assistant in Newberg, OR
• Providers in Newberg, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.