Provider Demographics
NPI:1326330333
Name:MERLINO, CHRIS MANTEL
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:MANTEL
Last Name:MERLINO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9111 ROOSEVELT WAY NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-2839
Mailing Address - Country:US
Mailing Address - Phone:206-525-8078
Mailing Address - Fax:206-525-1913
Practice Address - Street 1:9111 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2839
Practice Address - Country:US
Practice Address - Phone:206-525-8078
Practice Address - Fax:206-525-1913
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60216937175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath