Provider Demographics
NPI:1386747772
Name:RASMUSSEN, HAROLD HANS (DC)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:HANS
Last Name:RASMUSSEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4137 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4101
Mailing Address - Country:US
Mailing Address - Phone:206-935-7222
Mailing Address - Fax:206-935-1337
Practice Address - Street 1:4137 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4101
Practice Address - Country:US
Practice Address - Phone:206-935-7222
Practice Address - Fax:206-935-1337
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T01788Medicare UPIN
WAG8865631Medicare PIN
WAG000104386Medicare PIN