Provider Demographics
NPI:1972195212
Name:DOCTOR HARMONY NATUROPATHIC MEDICINE, INC.
Entity Type:Organization
Organization Name:DOCTOR HARMONY NATUROPATHIC MEDICINE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HARMONY
Authorized Official - Middle Name:LAYNE
Authorized Official - Last Name:WIEST
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:512-789-1616
Mailing Address - Street 1:1220 NW 79TH CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-6914
Mailing Address - Country:US
Mailing Address - Phone:512-789-1616
Mailing Address - Fax:833-719-1208
Practice Address - Street 1:1112 DANIELS ST STE 102A
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660-3070
Practice Address - Country:US
Practice Address - Phone:971-319-4355
Practice Address - Fax:833-719-1208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1124456728OtherHARMONY LAYNE