Individual
CHRISTOPHER CRAIG BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 9TH AVE, M4PFS, SEATTLE, WA 98101-2756
(206) 515-5811
(206) 515-5886
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00032535
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR AND INDUSTRIES # VM
WA
01
—
5285BL
BLUE SHIELD # VM
WA
05
—
8193864
—
WA
01
—
P00444038
RAILROAD MC # VM
WA
Enumeration date
10/27/2006
Last updated
07/23/2012
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