Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDRIC M HARWIN, MSC, BCO, BADO, FAMI
Deactivated Sole ProprietorOcularist · PORTLAND, OR
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1689669624
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 15, 2005 (0.51780821917808 yrs)
- Last Updated
- Aug 24, 2011
- Deactivated
- Mar 23, 2006
- Licenses
-
51680289 (OR)516802-89 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2525 NW LOVEJOY STSTE 306PORTLAND, OR, 972102859Browse OR providers · Browse ZIP 97210
- Phone
- 5032298490
- Fax
- 5032240740
- Primary Specialty
-
Ocularist
156FX1700X
- Additional Specialty
- Ocularist
Other Ocularist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA N. LEITZEL | BS BCO BADO | 1689199317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.