Russell-Wilson, Chrissie Collette

Russell-Wilson, Chrissie Collette is an individual health care provider with primary practice located at 501 Se 172Nd Ave Ste 130 , Vancouver WA 98684. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Russell-Wilson, Chrissie Collette can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
501 Se 172Nd Ave Ste 130 Vancouver WA 98684
Phone: (360) 882-2778
Fax: (360) 604-1772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30007938 Washington

Profile Details

NPI number 1942484308
LBN Legal business name Russell-Wilson, Chrissie Collette
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2007
Last updated Oct 28th, 2019 - about 6 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 1942484308 NPPES
Washington MEDICAID 1079961

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