Provider Demographics
NPI: | 1437604428 |
---|---|
Name: | CHRISTINE M JAMES ND PLLC |
Entity type: | Organization |
Organization Name: | CHRISTINE M JAMES ND PLLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | CHRISTINE |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | JAMES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | ND |
Authorized Official - Phone: | 425-636-2346 |
Mailing Address - Street 1: | 9225 122ND CT NE |
Mailing Address - Street 2: | K501 |
Mailing Address - City: | KIRKLAND |
Mailing Address - State: | WA |
Mailing Address - Zip Code: | 98033-5889 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 425-636-2346 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 13531 JUANITA WOODINVILLE WAY NE |
Practice Address - Street 2: | |
Practice Address - City: | KIRKLAND |
Practice Address - State: | WA |
Practice Address - Zip Code: | 98034-5225 |
Practice Address - Country: | US |
Practice Address - Phone: | 425-636-2346 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-08-18 |
Last Update Date: | 2016-08-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
WA | NT60123227 | 261QM2500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |