Individual
DR. CHRISTOPHER MATHIAS GUNAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3711
(360) 895-5000
(877) 516-9023
Mailing address
1400 POTTERY AVE, PORT ORCHARD, WA 98366-3768
(360) 895-5000
(877) 516-9023
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A157790
CA
208000000X
Pediatrics Physician
Primary
MD61537259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
06/05/2017
Last updated
10/18/2024
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