Individual
DR. CHRISTINE C SCHALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 983-5120
(208) 983-5404
Mailing address
77 POPLAR DR, GRANGEVILLE, ID 83530-5347
(208) 983-3744
(208) 298-4520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9461
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0265455
LABOR & INDUSTRIES
WA
01
—
1063415404
REGENCE BLUESHIELD
ID
05
—
1063415404
—
ID
05
—
2009649
—
WA
01
—
78399
BC/ID
ID
01
—
P00884048
RR MEDICARE
ID
Enumeration date
05/31/2005
Last updated
11/01/2012
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