Provider Demographics
NPI:1447473459
Name:HARPSTER, CORINNE (LMP, ND)
Entity type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:
Last Name:HARPSTER
Suffix:
Gender:F
Credentials:LMP, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10022 NE 138TH PL
Mailing Address - Street 2:UNIT O2
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-1917
Mailing Address - Country:US
Mailing Address - Phone:206-427-9362
Mailing Address - Fax:
Practice Address - Street 1:12600 SE 38TH ST
Practice Address - Street 2:SUITE 130
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-6105
Practice Address - Country:US
Practice Address - Phone:425-679-6056
Practice Address - Fax:425-679-6632
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60142612175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
20-1631890OtherTAX ID #