Individual
CHRISTINA DIANE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1959 NE PACIFIC ST, BOX 354410, SEATTLE, WA 98195-0001
(206) 616-2495
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00017898
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174613020
—
WA
01
—
4315
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/13/2006
Last updated
11/25/2013
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