Harris, Victor Jason

Harris, Victor Jason is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Harris, Victor Jason can be contacted via phone (253) 279-8979.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-0001
Phone: (253) 279-8979
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PA10004575 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10004575 Washington

Profile Details

NPI number 1295701803
LBN Legal business name Harris, Victor Jason
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Nov 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295701803 NPPES
Washington MEDICAID 8425886

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