Provider Demographics
NPI:1356728836
Name:HARRIS, JULIA (MD, MTCM)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MD, MTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7302
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98507
Mailing Address - Country:US
Mailing Address - Phone:360-972-9853
Mailing Address - Fax:
Practice Address - Street 1:5410 CALIFORNIA AVE. SW, SUITE 203
Practice Address - Street 2:WEST SEATTLE WHOLE HEALTH CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136
Practice Address - Country:US
Practice Address - Phone:206-923-2053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCAOM:127081171100000X
WAAC-60175082171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist