Provider Demographics
NPI:1467429829
Name:NOELL, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:NOELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SAMISH WAY # 101
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-2940
Mailing Address - Country:US
Mailing Address - Phone:360-676-8980
Mailing Address - Fax:
Practice Address - Street 1:801 SAMISH WAY # 101
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-2940
Practice Address - Country:US
Practice Address - Phone:360-676-8980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000135782084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA201181OtherDEPARTMENT OF L&I
WA126034OtherCRIME VICTIMS
WA1130NOOtherREGENCE BLUE SHIELD
WA1018142Medicaid
AB11445Medicare ID - Type Unspecified
WA1018142Medicaid