Healthcare Provider Details

I. General information

NPI: 1700704012
Provider Name (Legal Business Name): HARSNIMER SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12725 SE 312TH ST APT C103
AUBURN WA
98092-3707
US

IV. Provider business mailing address

12725 SE 312TH ST APT C103
AUBURN WA
98092-3707
US

V. Phone/Fax

Practice location:
  • Phone: 253-289-2093
  • Fax:
Mailing address:
  • Phone: 253-289-2093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number14845
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: