Provider Demographics
NPI:1689128274
Name:BORTEL, CHRISTOPHER CROSBY
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:CROSBY
Last Name:BORTEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8727 PHINNEY AVE N
Mailing Address - Street 2:APT 27 A-06 #77
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3878
Mailing Address - Country:US
Mailing Address - Phone:360-580-0323
Mailing Address - Fax:
Practice Address - Street 1:8727 PHINNEY AVE N
Practice Address - Street 2:APT 27 A-06 #77
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-3878
Practice Address - Country:US
Practice Address - Phone:360-580-0323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst