Provider Demographics
NPI:1184931719
Name:MATTHEWS, CHRISTIANA MAIA (DC)
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:MAIA
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LEE
Other - Last Name:MAIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:6639 NE 190TH ST
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-3467
Mailing Address - Country:US
Mailing Address - Phone:425-985-6619
Mailing Address - Fax:425-952-1965
Practice Address - Street 1:6639 NE 190TH ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028-3467
Practice Address - Country:US
Practice Address - Phone:425-985-6619
Practice Address - Fax:425-952-1965
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60178205111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor