Provider Demographics
NPI:1811235518
Name:DILLINGER, CHRISTINE KAY (MA)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:KAY
Last Name:DILLINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MRS
Other - First Name:CHRISTINE
Other - Middle Name:KAY
Other - Last Name:NELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:7931 NE LOOWIT LOOP APT 7
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6458
Mailing Address - Country:US
Mailing Address - Phone:360-573-5230
Mailing Address - Fax:
Practice Address - Street 1:13501 NE 28TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-8091
Practice Address - Country:US
Practice Address - Phone:360-604-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA250520DOtherSTATE OF WASHINGTON STATE BOARD OF EDUCATION