Provider Demographics
NPI:1942503420
Name:MCALEER, CHARISSA
Entity Type:Individual
Prefix:MRS
First Name:CHARISSA
Middle Name:
Last Name:MCALEER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHARISSA
Other - Middle Name:
Other - Last Name:FLESCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:6811 NE 121ST AVE
Mailing Address - Street 2:APT AA233
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-5571
Mailing Address - Country:US
Mailing Address - Phone:360-931-6435
Mailing Address - Fax:
Practice Address - Street 1:7604 NE 5TH AVE
Practice Address - Street 2:#109
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8200
Practice Address - Country:US
Practice Address - Phone:360-314-4380
Practice Address - Fax:360-448-2857
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60183724225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist