Provider Demographics
NPI:1841635984
Name:HARRSCH, ELYSIA JB (ND)
Entity type:Individual
Prefix:DR
First Name:ELYSIA
Middle Name:JB
Last Name:HARRSCH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:ELYSIA
Other - Middle Name:JB
Other - Last Name:HARRSCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ND
Mailing Address - Street 1:9901 NE 7TH AVE STE A201
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-4536
Mailing Address - Country:US
Mailing Address - Phone:360-512-3650
Mailing Address - Fax:360-512-3674
Practice Address - Street 1:9901 NE 7TH AVE STE A201
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-4536
Practice Address - Country:US
Practice Address - Phone:360-512-3650
Practice Address - Fax:360-512-3674
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5064175F00000X
WANT 60357741175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath