MEDICARE: MR. HOWARD F. HARRISON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	MD00035347	WA

General Provider Information

NPI Number	:	1124101241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOWARD F. HARRISON MD

Provider Business Mailing Address
First Line	:	3800 SUMMITVIEW AVE
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-2715
Country	:	US
Telephone Number	:	509-575-8307
Fax Number	:	509-575-8894

Provider Business Practice Location Address
First Line	:	1460 N 16TH AVE STE C
Second Line	:
City	:	YAKIMA
State	:	WA
Zip	:	98902-7102
Country	:	US
Telephone Number	:	509-575-8307
Fax Number	:	509-575-8894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	10/29/2012

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