Provider Demographics
NPI:1578645529
Name:ABRASS, CHRISTINE KREGER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:KREGER
Last Name:ABRASS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5344 84TH PL SE
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-4620
Mailing Address - Country:US
Mailing Address - Phone:206-897-1966
Mailing Address - Fax:
Practice Address - Street 1:5344 84TH PL SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-4620
Practice Address - Country:US
Practice Address - Phone:206-897-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00022641207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8431629Medicaid
WAI34040Medicare UPIN
WA8854425Medicare PIN
WA8431629Medicaid