Provider Demographics
NPI:1730126707
Name:SEYLER, CHRISTINE M (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:SEYLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 3RD ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DAVENPORT
Mailing Address - State:WA
Mailing Address - Zip Code:99122-9730
Mailing Address - Country:US
Mailing Address - Phone:509-725-7501
Mailing Address - Fax:509-725-7504
Practice Address - Street 1:100 3RD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:DAVENPORT
Practice Address - State:WA
Practice Address - Zip Code:99122-9730
Practice Address - Country:US
Practice Address - Phone:509-725-7501
Practice Address - Fax:509-725-7504
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOA10000098363A00000X
WAPA10001433363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7101132Medicaid
WA8408759Medicaid
WA7117450Medicaid
WA198956OtherDEPT. OF L & I
WACJ6525OtherMEDICARE RAILROAD
WACJ6525OtherMEDICARE RAILROAD
WACJ6525OtherMEDICARE RAILROAD
MS0089145OtherDEA
WAGAB16799Medicare PIN
WA198956OtherDEPT. OF L & I
WA7101132Medicaid