Individual
CECILIA CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
669 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1038
(360) 359-4840
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
PA60931075
WA
363A00000X
Physician Assistant
Primary
PA60931075
WA
Other
Enumeration date
06/21/2019
Last updated
08/09/2024
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