Provider Demographics
NPI:1760405989
Name:CHRISTIE, DEBORAH LEA (RDH)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEA
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:869 TIMBERLAKE WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-8913
Mailing Address - Country:US
Mailing Address - Phone:360-734-1283
Mailing Address - Fax:
Practice Address - Street 1:2201 JAMES ST
Practice Address - Street 2:SUITE A
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4154
Practice Address - Country:US
Practice Address - Phone:369-734-7055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDH00006993124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist