Provider Demographics
NPI:1639298086
Name:JAYNE, CHRISTOPHER YASHPAL (ND)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:YASHPAL
Last Name:JAYNE
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 WATER ST
Mailing Address - Street 2:#206
Mailing Address - City:PORT TOWNSEND
Mailing Address - State:WA
Mailing Address - Zip Code:98368-6706
Mailing Address - Country:US
Mailing Address - Phone:360-385-3551
Mailing Address - Fax:
Practice Address - Street 1:340 26TH ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-6221
Practice Address - Country:US
Practice Address - Phone:360-385-3551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00000694175F00000X, 175L00000X
AZ02-704175F00000X, 175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered175F00000XOther Service ProvidersNaturopath
Not Answered175L00000XOther Service ProvidersHomeopath