Individual
DR. THEODORE EDWARD HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 N OAK ST, PORT ANGELES, WA 98362-2616
(360) 207-4727
Mailing address
109 N OAK ST, PORT ANGELES, WA 98362-2616
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00040509
WA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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