Provider Demographics
NPI:1972652774
Name:ZACH, CHRISTINE MICHELLE (ND)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MICHELLE
Last Name:ZACH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 NE RIDDELL RD STE 103
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3685
Mailing Address - Country:US
Mailing Address - Phone:360-475-0400
Mailing Address - Fax:
Practice Address - Street 1:1736 NE RIDDELL RD STE 103
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98310-3685
Practice Address - Country:US
Practice Address - Phone:360-475-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1370175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath