# HARKNESS MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215518113
- **Authorized official:** ROSS HARKNESS (OWNER)
- **Authorized official phone:** (785) 410-5472

## Contact information

- **Practice address:** 412 BLACK HILLS LN SW STE A, OLYMPIA, WA 98502-8142
- **Practice address phone:** (360) 567-6064
- **Practice address fax:** (833) 731-0392
- **Mailing address:** 412 BLACK HILLS LN SW STE A, OLYMPIA, WA 98502-8142
- **Mailing address phone:** (360) 567-6064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/21/2021
- **Last updated:** 10/27/2021