Provider Demographics
NPI:1750553202
Name:WEST, CHRIS ANN (LMP)
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:ANN
Last Name:WEST
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2555
Mailing Address - Country:US
Mailing Address - Phone:360-588-0232
Mailing Address - Fax:360-544-8534
Practice Address - Street 1:2320 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2555
Practice Address - Country:US
Practice Address - Phone:360-588-0232
Practice Address - Fax:360-544-8534
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00012249225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist