Individual
HARRISON A KALODIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3122
(206) 533-2900
(206) 533-2901
Mailing address
604 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3122
(206) 533-2900
(206) 533-2901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60855811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487016689
—
WA
Enumeration date
03/26/2016
Last updated
06/16/2021
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