Provider Demographics
NPI:1619374154
Name:CHAMBERS, CHRISTINE (LMP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 NARNIA LN NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-2627
Mailing Address - Country:US
Mailing Address - Phone:928-514-6082
Mailing Address - Fax:
Practice Address - Street 1:908 NARNIA LN NW
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-2627
Practice Address - Country:US
Practice Address - Phone:928-514-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-26
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA11472225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist