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Individual

DR. ERIN KATHLEEN HARNISH

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
784 14TH AVE, LONGVIEW, WA 98632-2315
(360) 425-6111
(360) 636-1297
Mailing address
784 14TH AVE, LONGVIEW, WA 98632-2315
(360) 425-6111
(360) 636-1297

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD00035356
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129048
WA LABOR & INDUSTRIES
WA
05
150546
OR
05
8211138
WA
Enumeration date
11/02/2005
Last updated
07/09/2007
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