Provider Demographics
NPI:1710299573
Name:HARMON, PAMELLA RUTH (PHD, CNM)
Entity Type:Individual
Prefix:
First Name:PAMELLA
Middle Name:RUTH
Last Name:HARMON
Suffix:
Gender:F
Credentials:PHD, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 LYNN ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2346
Mailing Address - Country:US
Mailing Address - Phone:206-854-0010
Mailing Address - Fax:
Practice Address - Street 1:304 LYNN ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2346
Practice Address - Country:US
Practice Address - Phone:206-854-0010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60173607367A00000X
WARN00080348163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife