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Individual

CHRISTOPHER HUNTLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60427375
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA60427375
STATE MEDICAL LICENSE
WA
Enumeration date
12/16/2013
Last updated
05/21/2021
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