Doctor Name: | MRS. JACKLYN HUTCHENS HARRINGTON |
NPI Number: | 1043250335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA C |
License Number: | PA10004867 |
Business Practice Address: | 888 Swift Blvd Richland, WA - 993523514 |
Business Phone Number: | 5099422159 |
Business Fax Number: | 5099422757 |
Mailing Address: | 505 S 336th Street, Suite 600 FEDRAL WAY |
State: | WA |
Postal Code: | 980036328 |
Phone Number: | 2538386180 |
Fax Number: | 2538386418 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 11/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA10004867 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |