Individual provider · Type 1 NPI

Mimi Harzan, MSPA, PA-C

Physician Assistant · Bend, OR

NPI number 1477175446 Active

Practice location

2200 NE Neff Rd Ste 302
Bend, OR 97701-4279

Call (541) 706-6915 Map

Fax (541) 706-6733

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 220 S Park Ave Fl 3, Herrin, IL 62948-3602 · (618) 942-2002
  • 305 W Jackson St Ste 206, Carbondale, IL 62901-1474 · (618) 457-3006

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X085008538 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1477175446

Mimi Harzan, MSPA, PA-C's National Provider Identifier is 1477175446, issued on May 13, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bend, OR. The record was last updated on Oct 1, 2025.