Provider Demographics
NPI:1346906252
Name:ABERCROMBIE, CHRISTINA JULIA (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:JULIA
Last Name:ABERCROMBIE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8009 S 180TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-1042
Mailing Address - Country:US
Mailing Address - Phone:425-251-9200
Mailing Address - Fax:425-251-9201
Practice Address - Street 1:8009 S 180TH ST STE 104
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-1042
Practice Address - Country:US
Practice Address - Phone:425-251-9200
Practice Address - Fax:425-251-9201
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61178760152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist