Individual
CHRISTOFER D BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMD, RT(T)
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 768-5356
(206) 768-5331
Mailing address
707 S SNOQUALMIE ST STE 2D, SEATTLE, WA 98108-1740
(206) 368-0579
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
RT00004050
WA
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
RT00004050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1474862
MEDICAL DOSIMETRIST CERTIFICATION BOARD
—
01
—
330733
AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS
—
Enumeration date
06/30/2010
Last updated
06/30/2010
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