Provider Demographics
NPI:1013108711
Name:HARBORVIEW MEICAL CENTER
Entity Type:Organization
Organization Name:HARBORVIEW MEICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PA-C
Authorized Official - Prefix:MS
Authorized Official - First Name:BETHEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:ASRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-308-2256
Mailing Address - Street 1:325 9TH AVE
Mailing Address - Street 2:M/S 359750
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-685-1121
Mailing Address - Fax:
Practice Address - Street 1:325 9TH AVE
Practice Address - Street 2:M/S 359750
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-685-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10004980282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital