NPI 1083901789

Michael Haranzo

Practitioner Contractor Beaverton, OR

Practice location

Address: 3849 SW Hall Blvd, Beaverton, OR 97005-2049
Phone: (503) 574-3525

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 10562 (OR)

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Registry record

NPI: 1083901789
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2011
Record last updated: 1 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.