Individual
NICHOLAS SCOTT HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C A,T.,C
Contact information
Practice address
1724 W UNION AVE, TACOMA, WA 98405-2099
(253) 830-5200
(253) 752-1160
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
(206) 264-8689
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A160047664
WA
363A00000X
Physician Assistant
Primary
PA.PA.60173835
WA
Other
Enumeration date
04/26/2007
Last updated
10/21/2011
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