Provider Demographics
NPI:1740383645
Name:HARPER, JANET EILEEN (RDH)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:EILEEN
Last Name:HARPER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 QUICK RD
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:WA
Mailing Address - Zip Code:98611-9664
Mailing Address - Country:US
Mailing Address - Phone:360-274-2242
Mailing Address - Fax:
Practice Address - Street 1:209 QUICK ROAD
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:WA
Practice Address - Zip Code:98611-9664
Practice Address - Country:US
Practice Address - Phone:360-274-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00006020124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0852OtherEMPLOYEE PROVIDER NUMBER