Provider Demographics
NPI:1851337497
Name:URQUHART, CHRISTINA A (PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:URQUHART
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 1:4029 NORTHWEST AVENUE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226
Mailing Address - Country:US
Mailing Address - Phone:360-734-2330
Mailing Address - Fax:360-733-3783
Practice Address - Street 1:4029 NORTHWEST AVENUE
Practice Address - Street 2:SUITE 203
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226
Practice Address - Country:US
Practice Address - Phone:360-734-5400
Practice Address - Fax:253-838-6418
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10000726207P00000X, 363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8325722Medicaid
WA5075GOOtherBSWA
WA970030372OtherRRGA
WAAB34518Medicare PIN
WA8325722Medicaid