Christianson, Phyllis W.

Christianson, Phyllis W. is an individual health care provider with primary practice located at 1600 E John St , Seattle WA 98112-5222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Christianson, Phyllis W. can be contacted via phone (206) 326-3255.

Contact Information

Primary practice address
1600 E John St Seattle WA 98112-5222
Fax: (206) 326-4415
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN00075573 Washington
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP30002168 Washington

Profile Details

NPI number 1386867612
LBN Legal business name Christianson, Phyllis W.
Credentials A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 7th, 2009 - about 15 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 1386867612 NPPES
Washington MEDICAID 9624727

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