Search › Oregon › 363A00000X
Mimi Harzan, MSPA, PA-C
NPI 1477175446 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2200 Ne Neff Rd Ste 302
Bend, OR 97701 - Phone
- (541) 706-6915
- Fax
- (541) 706-6733
- Organisation at this address
- Inovia Llc
Foot Fitness
Boyle Clinics Pc
Pacific Medical, Inc.
Cascade Surgicenter, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 178
Additional practice sites
- 220 S Park Ave Fl 3, Herrin, IL
- 305 W Jackson St Ste 206, Carbondale, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
390200000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon