MEDICARE: HARPER ZIMMER PA-C

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	363AM0700X	Medical Physician Assistant	PA61098355	WA

General Provider Information

NPI Number	:	1356923353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARPER ZIMMER PA-C

Provider Business Mailing Address
First Line	:	3213 EASTLAKE AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:	206-324-1178

Provider Business Practice Location Address
First Line	:	3213 EASTLAKE AVE E STE A
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98102-7127
Country	:	US
Telephone Number	:	206-861-8200
Fax Number	:	206-324-1178

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

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	04/28/2021

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Directions to “ HARPER ZIMMER PA-C” Practice Location

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