Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD FRAZIER SIRCHUK SR.
Active Sole ProprietorMR. EDWARD FRAZIER SIRCHUK SR. is a Peer Specialist healthcare provider located in HARBOR, Oregon. NPI 1851107635 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · HARBOR, OR
Registration Details
- NPI Number
- 1851107635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 6, 2024 (1.6630036731189 yrs)
- Last Updated
- Dec 7, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
15957 HIGHWAY 101 S STE 11HARBOR, OR, 974158507Browse OR providers · Browse ZIP 97415
- Phone
- 5418139142
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Peer Specialist
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.