Provider Demographics
NPI:1841391901
Name:GUTIERREZ, CHRISTINA ELIZABETH (ND, LM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ELIZABETH
Last Name:GUTIERREZ
Suffix:
Gender:F
Credentials:ND, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1227 N ALLEN PL
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-7412
Mailing Address - Country:US
Mailing Address - Phone:206-624-6627
Mailing Address - Fax:206-525-5933
Practice Address - Street 1:1227 N ALLEN PL
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-7412
Practice Address - Country:US
Practice Address - Phone:206-624-6627
Practice Address - Fax:206-525-5933
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW292175M00000X
WAMW00000292176B00000X
WANT00001375175F00000X
WANT1375175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No175M00000XOther Service ProvidersMidwife, Lay
No176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA6845GUOtherREGENCE MIDWIFERY NUMBER
WA7128291Medicaid
WA6848GUOtherREGENCE ND NUMBER