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Individual

CHRISTOPHER SHANNON TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16046 BEACH DR NE, LAKE FOREST PARK, WA 98155-6740
(425) 227-2301
(425) 227-1300
Mailing address
16046 BEACH DR NE, LAKE FOREST PARK, WA 98155-6740
(425) 227-2301
(425) 227-1300

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MD 00017862
WA

Other

Enumeration date
07/14/2010
Last updated
07/14/2010
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