Provider Demographics
| NPI: | 1437604428 |
|---|---|
| Name: | CHRISTINE M JAMES ND PLLC |
| Entity type: | Organization |
| Organization Name: | CHRISTINE M JAMES ND PLLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | CHRISTINE |
| Authorized Official - Middle Name: | M |
| Authorized Official - Last Name: | JAMES |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | ND |
| Authorized Official - Phone: | 425-636-2346 |
| Mailing Address - Street 1: | 9225 122ND CT NE |
| Mailing Address - Street 2: | K501 |
| Mailing Address - City: | KIRKLAND |
| Mailing Address - State: | WA |
| Mailing Address - Zip Code: | 98033-5889 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 425-636-2346 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 13531 JUANITA WOODINVILLE WAY NE |
| Practice Address - Street 2: | |
| Practice Address - City: | KIRKLAND |
| Practice Address - State: | WA |
| Practice Address - Zip Code: | 98034-5225 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 425-636-2346 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2016-08-18 |
| Last Update Date: | 2016-08-18 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| WA | NT60123227 | 261QM2500X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |