Provider Demographics
NPI:1952838906
Name:HARBOR FIRST ASSIST GROUP, LLC
Entity Type:Organization
Organization Name:HARBOR FIRST ASSIST GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JODY
Authorized Official - Middle Name:
Authorized Official - Last Name:VEATCH-JANIN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:855-621-8250
Mailing Address - Street 1:5500 OLYMPIC DR.
Mailing Address - Street 2:STE H105, PMB 251
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-5812
Mailing Address - Country:US
Mailing Address - Phone:253-228-3626
Mailing Address - Fax:253-514-6007
Practice Address - Street 1:3604 103RD AVENUE CT NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-5812
Practice Address - Country:US
Practice Address - Phone:253-228-3626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty