Provider Demographics
NPI:1821179557
Name:PRICE, CHRISTINE H (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:H
Last Name:PRICE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 MADISON ST
Mailing Address - Street 2:STE 1440
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3538
Mailing Address - Country:US
Mailing Address - Phone:206-381-0269
Mailing Address - Fax:206-829-2083
Practice Address - Street 1:3005 112TH AVE NE
Practice Address - Street 2:SUITE 210
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-8015
Practice Address - Country:US
Practice Address - Phone:425-899-3455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046951207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0039515OtherLABOR AND INDUSTRIES#
WA4878PROtherBLUE SHIELD#
WAP00394657OtherRAILROAD MC#
WA8477994Medicaid
WA8875071Medicare PIN
WA8477994Medicaid
WA8863036Medicare PIN