Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT 673 | WA |
NPI | 1003069048 |
---|---|
Provider Name | Jeff Harris |
First Address | Seattle, WA 98115-5325 |
Second Address | Seattle, WA 98115-5325 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2008 |
Last Update Date | 03/11/2008 |