Individual
JAMIE CHRISOPULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1114
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 636-3892
(360) 414-1114
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60012454
WA
171M00000X
Case Manager/Care Coordinator
RN60012454
WA
Other
Enumeration date
01/31/2013
Last updated
10/26/2017
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