Provider Demographics
NPI:1477604759
Name:MARSH, CHRISTINA M (RD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:MARSH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 9TH AVE
Mailing Address - Street 2:M4-PFS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2756
Mailing Address - Country:US
Mailing Address - Phone:206-583-6025
Mailing Address - Fax:206-515-5886
Practice Address - Street 1:125 16TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5211
Practice Address - Country:US
Practice Address - Phone:206-326-3000
Practice Address - Fax:877-515-2975
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001443133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAUS7972390OtherAETNA SPECIALIST PIN
WA8881920OtherMEDICARE - SNOHOMISH CO
WA7783BEOtherBLUE SHIELD #
WA0039581OtherLABOR AND INDUSTRIES #
WA8369860Medicaid
WAP710000603OtherRAILROAD MEDICARE
WA0039581OtherLABOR AND INDUSTRIES #
WA7783BEOtherBLUE SHIELD #
WA8369860Medicaid