Dale Harris

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

90185145851012D Issued in OR

Practice address

900 Kane St
Klamath Falls, OR 97603-3924

Phone

(541) 884-3656

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Aubrey Dale Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1972835445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 KANE ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033924",
            "telephone_number": "541-884-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 KANE ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976033924",
            "telephone_number": "541-884-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "90185145851012D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUBREY",
            "last_name": "HARRIS",
            "middle_name": "DALE",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Harding
• Harmon Chiropractic, Inc (Cascade Chiropractic & Rehabilitation)
• Jefferson McKay Harmon, D.C.
• Amanda Harris, LMT
• Carin Michelle Harris, QMHP, MCJ
• Heather Eileen Harris
• Kenneth Hal Harris, PHARM. D.
• Rachel Anne Harsch, PA-C, D.C.
• Cade Hart, CDT
• Debra Hartley, MD

• Community Health Worker in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.