Provider Demographics
NPI:1487231684
Name:HARRINGTON, TERRELL J (RD)
Entity Type:Individual
Prefix:
First Name:TERRELL
Middle Name:J
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-6021
Mailing Address - Country:US
Mailing Address - Phone:512-767-2448
Mailing Address - Fax:
Practice Address - Street 1:710 S LAUREL ST
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-6021
Practice Address - Country:US
Practice Address - Phone:512-767-2448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86028593133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered