Provider Demographics
NPI:1154680593
Name:HARMON, LIV KAROLINE (MD)
Entity Type:Individual
Prefix:
First Name:LIV
Middle Name:KAROLINE
Last Name:HARMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LIV
Other - Middle Name:KAROLINE
Other - Last Name:LEUTHOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:925 SENECA ST
Mailing Address - Street 2:H8-GME
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2742
Mailing Address - Country:US
Mailing Address - Phone:206-583-6079
Mailing Address - Fax:206-583-2307
Practice Address - Street 1:925 SENECA ST
Practice Address - Street 2:H8-GME
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2742
Practice Address - Country:US
Practice Address - Phone:206-583-6079
Practice Address - Fax:206-583-2307
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program