Individual
DR. CHRISTOPHER P WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15418 MAIN ST UNIT 303A, MILL CREEK, WA 98012-9031
(425) 339-5453
(425) 225-8028
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 339-5453
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00042104
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035137
—
WA
Enumeration date
11/12/2006
Last updated
10/30/2018
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