Provider Demographics
NPI:1851645014
Name:YOUNG, CHRISTI ANN (RN, CCM)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:ANN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11801 SE MCGILLIVRAY BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5207
Mailing Address - Country:US
Mailing Address - Phone:360-335-7146
Mailing Address - Fax:770-723-8787
Practice Address - Street 1:12725 SW 66TH AVE STE 207
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97223-2548
Practice Address - Country:US
Practice Address - Phone:360-335-7146
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00070176163W00000X
WA00104269163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management