Provider Demographics
NPI:1801877717
Name:PIERCE, HARRY A III (DO)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:A
Last Name:PIERCE
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13014 12TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3110
Mailing Address - Country:US
Mailing Address - Phone:206-244-5805
Mailing Address - Fax:206-248-7362
Practice Address - Street 1:13014 12TH AVE SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-3110
Practice Address - Country:US
Practice Address - Phone:206-244-5805
Practice Address - Fax:206-248-7362
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00000769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA4991664OtherAETNA
WAP624OtherREGENCE
WA15744OtherLABOR AND INDUSTRY
WA1294008Medicaid
WA15744OtherLABOR AND INDUSTRY
WAE32420Medicare UPIN