Provider Demographics
NPI:1417797523
Name:HARRIS, OLIVER SCOTT III
Entity type:Individual
Prefix:
First Name:OLIVER
Middle Name:SCOTT
Last Name:HARRIS
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 DEERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9572
Mailing Address - Country:US
Mailing Address - Phone:513-669-7961
Mailing Address - Fax:
Practice Address - Street 1:7222 EDENTON PLEASANT PLAIN RD
Practice Address - Street 2:
Practice Address - City:PLEASANT PLAIN
Practice Address - State:OH
Practice Address - Zip Code:45162-9384
Practice Address - Country:US
Practice Address - Phone:513-615-0141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide