Provider Demographics
NPI:1730102427
Name:HARMON, ASHLEY DENISE (MD)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:DENISE
Last Name:HARMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 118
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2777
Mailing Address - Country:US
Mailing Address - Phone:206-497-2059
Mailing Address - Fax:206-374-2923
Practice Address - Street 1:1818 WESTLAKE AVE N
Practice Address - Street 2:SUITE 118
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2777
Practice Address - Country:US
Practice Address - Phone:206-497-2059
Practice Address - Fax:206-374-2923
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2164442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA36564Medicare ID - Type Unspecified
I02779Medicare UPIN