Provider Demographics
NPI:1104355155
Name:HARMAN, RICHARD LEE (MD, FACS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:HARMAN
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
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Mailing Address - Street 1:10101 270TH ST. NW, #195
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292
Mailing Address - Country:US
Mailing Address - Phone:425-422-5406
Mailing Address - Fax:360-387-4175
Practice Address - Street 1:10101 270TH ST. NW, #195
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292
Practice Address - Country:US
Practice Address - Phone:425-422-5406
Practice Address - Fax:360-387-4175
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00021441207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty