Individual
BEVERLY RAE HARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 942-2159
(509) 942-2757
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00029869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003749200
—
ID
01
—
0216272
LIWA
WA
01
—
3045HA
BSWA
WA
Enumeration date
06/09/2006
Last updated
03/03/2008
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