Individual
DR. LARRY ROBERT HARPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17000 140TH AVE NE, SUITE 101, WOODINVILLE, WA 98072-6928
(425) 481-6363
(425) 488-4971
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015301
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080087314
MEDICARE RAILROAD
WA
05
—
1024637
—
WA
01
—
105504
LABOR & INDUSTRIES
WA
01
—
HA9963
BLUE SHIELD
WA
Enumeration date
11/16/2005
Last updated
02/16/2011
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