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Individual

CHRISTY A VATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
515 MINOR AVE, SUITE 300, SEATTLE, WA 98104-2120
(206) 386-9500
(206) 386-9605
Mailing address
PO BOX 3489, SEATTLE, WA 98114-3489
(206) 386-9500
(206) 386-9605

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004421
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
169921
LABOR & INDUSTRY
WA
01
5366VA
REGENCE
WA
01
5891740001
DME
WA
05
8355521
WA
01
P00016063
PALMETTO RR MEDICARE
WA
Enumeration date
09/23/2005
Last updated
03/10/2008
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