Individual
MR. VICTOR JASON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 279-8979
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA10004575
WA
363A00000X
Physician Assistant
Primary
PA10004575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8425886
—
WA
Enumeration date
02/23/2006
Last updated
11/08/2023
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