Provider Demographics
NPI:1275758104
Name:RASMUSSEN, CHRISTINA HELENE ANNE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:HELENE ANNE
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6212 75TH ST W
Mailing Address - Street 2:CIRCLE CREEK ASSOCIATES
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499
Mailing Address - Country:US
Mailing Address - Phone:253-983-8507
Mailing Address - Fax:253-983-8576
Practice Address - Street 1:6212 75TH ST W
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499
Practice Address - Country:US
Practice Address - Phone:253-983-8507
Practice Address - Fax:253-983-8576
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY2478103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA136481OtherDEPT OF LABOR & INDUSTRIE
WA183767AOtherDSHS
WAAB16788Medicare ID - Type Unspecified