Provider Demographics
NPI:1639187792
Name:HARDEN, HAL D (INITIAL ONLY) (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:D (INITIAL ONLY)
Last Name:HARDEN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 VALLEYVUE RD
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1050
Mailing Address - Country:US
Mailing Address - Phone:509-888-5676
Mailing Address - Fax:
Practice Address - Street 1:1815 VALLEY VUE RD
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1050
Practice Address - Country:US
Practice Address - Phone:509-888-5676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00016913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0315119Medicare ID - Type Unspecified
WAA07555Medicare UPIN