Provider Demographics
NPI:1598464711
Name:CHRISTIANSON GALINA, ISABELLA
Entity Type:Individual
Prefix:DR
First Name:ISABELLA
Middle Name:
Last Name:CHRISTIANSON GALINA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UW DEPARTMENT OF ORAL SURGERY
Mailing Address - Street 2:1959 NE PACIFIC ST. BOX 357134
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UW DEPARTMENT OF ORAL SURGERY - BX 357134
Practice Address - Street 2:1959 NE PACIFIC ST.
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195
Practice Address - Country:US
Practice Address - Phone:615-686-5117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR61426012204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery