Provider Demographics
NPI:1184121535
Name:MEJIAS, CHRISTOPHER ALEXANDER (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALEXANDER
Last Name:MEJIAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC STREET NW011, BOX 357115
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-1010
Mailing Address - Country:US
Mailing Address - Phone:203-988-7968
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST # NW011
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-1003
Practice Address - Country:US
Practice Address - Phone:203-988-7968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20190118792085R0202X
WAMD613865762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2021026084OtherMEDIAL LICENSE
WAMD61386576OtherPHYSICIAN AND SURGEON LICENSE