KEITH W HARLESS MD
NPI 1053356535
Specialist in Bend, OR

Active since June 18, 2006
2275 NE DOCTORS DR, SUITE 5, BEND, OR 97701(541) 706-7715(541) 598-3492 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith W Harless Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH W HARLESS MD (NPI 1053356535) is an individual specialist in Bend, Oregon, licensed in Oregon (MD08626) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053356535
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameKEITH W HARLESSCredential: MD
Location Address2275 NE DOCTORS DR, SUITE 5Bend, OR 97701-6324
Mailing AddressPo Box 5579Bend, OR 97708-5579 · (541) 706-7715 · Fax (541) 598-3492
Fax(541) 598-3492
Sole ProprietorNo
Enumeration DateJune 18, 2006
Last NPPES UpdateNovember 21, 2012
NPI 1053356535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · MD08626
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2275 NE DOCTORS DR, Bend, OR 97701

Other Identifiers 4

Medicare UPINC94213OR
Other290005326OR · Railroad
Medicare ID-Type Unspecified029WCGMFAOR
Medicaid234351OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
2275 NE DOCTORS DR, SUITE 9
BEND, OR 97701
Specialist
2275 NE DOCTORS DR, SUITE 6
BEND, OR 97701
Family Medicine (Hospice and Palliative Medicine)
2275 NE DOCTORS DR, SUITE 3
BEND, OR 97701
Pharmacy (Home Infusion Therapy Pharmacy)
2275 NE DOCTORS DR, SUITE 10
BEND, OR 97701
Occupational Therapist
2275 NE DOCTORS DR, SUITE 4
BEND, OR 97701
Counselor (Mental Health)
2275 NE DOCTORS DR
BEND, OR 97701
Ophthalmology
2275 NE DOCTORS DR, SUITE 6
BEND, OR 97701
Ophthalmology
2275 NE DOCTORS DR, STE 2
BEND, OR 97701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Harless's NPI number?

The NPI number for Keith Harless is 1053356535. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Keith Harless located?

Keith Harless practices at 2275 NE Doctors Dr Suite 5, Bend, OR 97701. The listed phone number is (541) 706-7715.

What is Keith Harless's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Keith Harless was last updated on November 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.