Healthcare Provider Details

I. General information

NPI: 1043886989
Provider Name (Legal Business Name): JESSICA HARRIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2859 EASTLAKE AVE E
SEATTLE WA
98102-3007
US

IV. Provider business mailing address

2859 EASTLAKE AVE E
SEATTLE WA
98102-3007
US

V. Phone/Fax

Practice location:
  • Phone: 206-739-7447
  • Fax:
Mailing address:
  • Phone: 206-739-7447
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: