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NPI Code Detail

MEDICARE: DR. VICTORIA L. HARRIS MD, MPH

MEDICARE: DR. VICTORIA L. HARRIS MD, MPH
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
12084F0202XForensic Psychiatry PhysicianMD00028715WA

General Provider Information

NPI Number : 1689630014
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA L. HARRIS MD, MPH
Provider Business Mailing Address
First Line : 21601 76TH AVE W
Second Line : STEVENS HOSPITAL, 9W
City : EDMONDS
State : WA
Zip : 98026-7507
Country : US
Telephone Number : 425-640-4090
Fax Number :
Provider Business Practice Location Address
First Line : 21601 76TH AVE W
Second Line : STEVENS HOSPITAL, 9W
City : EDMONDS
State : WA
Zip : 98026-7507
Country : US
Telephone Number : 425-640-4090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 07/08/2007

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