Provider Demographics
NPI:1790058154
Name:HARRISON HEALTH, PC
Entity Type:Organization
Organization Name:HARRISON HEALTH, PC
Other - Org Name:HM&D, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:WOODS
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-658-0310
Mailing Address - Street 1:781 ROZA DR
Mailing Address - Street 2:
Mailing Address - City:ZILLAH
Mailing Address - State:WA
Mailing Address - Zip Code:98953-9351
Mailing Address - Country:US
Mailing Address - Phone:888-658-0310
Mailing Address - Fax:877-334-1891
Practice Address - Street 1:781 ROZA DR
Practice Address - Street 2:
Practice Address - City:ZILLAH
Practice Address - State:WA
Practice Address - Zip Code:98953-9351
Practice Address - Country:US
Practice Address - Phone:888-658-0310
Practice Address - Fax:877-334-1891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603175263261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service