Provider Demographics
NPI:1346074788
Name:HARRIS, OLIVIA GRACE (HIS)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:GRACE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E JEFFERSON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-5644
Mailing Address - Country:US
Mailing Address - Phone:206-320-5687
Mailing Address - Fax:
Practice Address - Street 1:1600 E JEFFERSON ST STE 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5644
Practice Address - Country:US
Practice Address - Phone:206-320-5687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist