Provider Demographics
NPI:1780746362
Name:HORN, CHRISTINE ANNETTE (ND)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNETTE
Last Name:HORN
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 1:9481 BAYSHORE DR NW STE 101
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8378
Mailing Address - Country:US
Mailing Address - Phone:360-698-4141
Mailing Address - Fax:360-698-4034
Practice Address - Street 1:9481 BAYSHORE DR NW
Practice Address - Street 2:SUITE 101
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8377
Practice Address - Country:US
Practice Address - Phone:360-698-4141
Practice Address - Fax:360-698-4034
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA983175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath