Healthcare Provider Details

I. General information

NPI: 1609019827
Provider Name (Legal Business Name): HARVARD PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2009
Last Update Date: 05/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1606 8TH AVE N
SEATTLE WA
98109-3006
US

IV. Provider business mailing address

4910 111TH AVE NE
KIRKLAND WA
98033-7724
US

V. Phone/Fax

Practice location:
  • Phone: 206-679-5205
  • Fax: 206-282-4882
Mailing address:
  • Phone: 425-822-6979
  • Fax: 425-522-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberIS-153
License Number StateWA

VIII. Authorized Official

Name: DR. ALEKSANDRA DANILOV
Title or Position: MANAGING EMPLOYEE
Credential:
Phone: 425-822-6979