SearchWashington103TC0700X

Blake Harding

NPI 1992218036 · on the registry since 2017 · sole proprietor

Practice

Address
1424 11th Ave Ste 400
Seattle, WA 98122
Phone
(310) 427-1520
Organisation at this address
Divergent Wellbeing
Circulate Health, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 1942 Broadway Ste 314c, Boulder, CO
  • 1810 E Blacklidge Dr Apt 1025, Tucson, AZ

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
101Y00000X
101YM0800X
174H00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington