Individual
DR. ALAN L CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 TONGASS AVE, KETCHIKAN, AK 99901-5746
(907) 228-7688
(907) 228-8468
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(907) 228-7688
(907) 228-8468
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
13746
MS
207V00000X
Obstetrics & Gynecology Physician
172326-1205
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
41260
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17232612000001
BLUE CROSS BLUE SHIELD
UT
05
—
7100018700
—
KY
01
—
73823
PEHP
UT
01
—
806638800
IDAHO MEDICAID
ID
01
—
QM0000068942
ALTIUS
UT
Enumeration date
06/16/2005
Last updated
03/04/2016
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