Harbor Orthopedic and Fracture Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

HARBOR ORTHOPEDIC AND FRACTURE CLINIC

Practice address

1211 Skyview Dr
Aberdeen, WA 98520-1099

Phone

(360) 532-3808

Fax

(360) 533-4884

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rena L Johnson

Title

Clinic Administrator

Phone

(360) 532-3808

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720151905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 SKYVIEW DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201099",
            "telephone_number": "360-532-3808",
            "fax_number": "360-533-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 SKYVIEW DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201099",
            "telephone_number": "360-532-3808",
            "fax_number": "360-533-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR ORTHOPEDIC AND FRACTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RENA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CLINIC  ADMINISTRATOR",
        "authorized_official_telephone_number": "360-532-3808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "106056",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harbor Heights (Department of Children, Youth, & Families)
• Harbor Infectious Diseases
• Harbor Internal Medicine PLLC
• Harbor Kids Dental PLLC
• Harbor Ophthalmology
• Harbor Physical Therapy Services, PS
• Harbor Radiologists, P.S.
• Harbor Surgical Associates, Inc., P.S.
• Cody Robert Harden
• Melanie Joy Hardy, LMP

• Orthopaedic Surgery Physician in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.