Individual
CHRISTOPHER L FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS: M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
MD00020788
WA
207RC0000X
Cardiovascular Disease Physician
MD00020788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039571
L & I
WA
01
—
300093517
RAILROAD MEDICARE
WA
01
—
805441800
IDAHO MEDICAID
WA
05
—
8592602
—
WA
01
—
FE4333
INDIVIDUAL BLUE SHIELD
WA
01
—
MD788WA
ALASKA MEDICAID
WA
01
—
US0861430
AETNA SPECIALIST PIN
WA
Enumeration date
02/10/2006
Last updated
04/09/2012
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