Provider Demographics
NPI:1942572367
Name:TINDAL, CHRISTINE NICOLE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NICOLE
Last Name:TINDAL
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4522 44TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4117
Mailing Address - Country:US
Mailing Address - Phone:425-243-7848
Mailing Address - Fax:206-641-7102
Practice Address - Street 1:4522 44TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4117
Practice Address - Country:US
Practice Address - Phone:425-243-7848
Practice Address - Fax:206-641-7102
Is Sole Proprietor?:No
Enumeration Date:2012-01-31
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60265400176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife