Provider Demographics
NPI:1417191131
Name:HARPER, ALICE C (ND)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:C
Last Name:HARPER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17801 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1927
Mailing Address - Country:US
Mailing Address - Phone:360-794-4539
Mailing Address - Fax:360-794-5088
Practice Address - Street 1:17801 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1927
Practice Address - Country:US
Practice Address - Phone:360-794-4539
Practice Address - Fax:360-794-5088
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2016-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60079326175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath