Individual
CHRISTOPHER THOMAS SPIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 201, LAKEWOOD, WA 98499-8000
(253) 582-7257
(253) 582-1617
Mailing address
805 MADISON ST, SUITE 901, SEATTLE, WA 98104-1172
(206) 264-8100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60115679
WA
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0268476
STATE L&I (GHO)
WA
01
—
0268494
STATE L&I (TOS)
WA
Enumeration date
01/19/2010
Last updated
12/31/2015
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