Provider Demographics
NPI:1205854395
Name:HARRINGTON, TERRILL (MD)
Entity Type:Individual
Prefix:
First Name:TERRILL
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16469
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-0469
Mailing Address - Country:US
Mailing Address - Phone:206-362-8674
Mailing Address - Fax:206-935-1425
Practice Address - Street 1:3623 SW ALASKA ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-2732
Practice Address - Country:US
Practice Address - Phone:206-362-8674
Practice Address - Fax:206-935-1425
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00038084207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG60081Medicare UPIN