Healthcare Provider Details

I. General information

NPI: 1154680593
Provider Name (Legal Business Name): LIV KAROLINE HARMON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LIV KAROLINE LEUTHOLD MD

II. Dates (important events)

Enumeration Date: 05/04/2012
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 SENECA ST H8-GME
SEATTLE WA
98101-2742
US

IV. Provider business mailing address

925 SENECA ST H8-GME
SEATTLE WA
98101-2742
US

V. Phone/Fax

Practice location:
  • Phone: 206-583-6079
  • Fax: 206-583-2307
Mailing address:
  • Phone: 206-583-6079
  • Fax: 206-583-2307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: