Provider Demographics
NPI:1942522081
Name:NP SOMNOLOGIST, PLLC
Entity Type:Organization
Organization Name:NP SOMNOLOGIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:425-649-7319
Mailing Address - Street 1:15600 NE 8TH ST
Mailing Address - Street 2:SUITE B1-978
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98008-3927
Mailing Address - Country:US
Mailing Address - Phone:425-649-7319
Mailing Address - Fax:425-649-7319
Practice Address - Street 1:16320 SE 15TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-5102
Practice Address - Country:US
Practice Address - Phone:425-649-7319
Practice Address - Fax:425-649-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-16
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602908082261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty