Provider Demographics
NPI:1811956923
Name:ROMASCAN, CHRISTINE (DO)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ROMASCAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2512 WHEATON WAY
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98310-3399
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1651 NE BENTLEY DR
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98311-3706
Practice Address - Country:US
Practice Address - Phone:360-782-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001748207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA214479OtherLABOR & INDUSTRIES
5617ROOtherREGENCE BLUE SHIELD
WAG8466468Medicaid
7345817OtherAETNA
7345817OtherAETNA
G8876653Medicare PIN
G8892060Medicare PIN
WAG8863666Medicare PIN
WAI65697Medicare UPIN
G8871478Medicare PIN
WAG8863667Medicare PIN
WA214479OtherLABOR & INDUSTRIES
WAG8466468Medicaid