Individual
DR. CHRISTOPHER KISHIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W 8TH AVE L1, STE 100, SPOKANE, WA 99204-2307
(509) 474-2880
(509) 474-2241
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD00048081
WA
390200000X
Student in an Organized Health Care Education/Training Program
TL-1284
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8486797
—
WA
01
—
AB32999
MEDICARE GROUP
WA
Enumeration date
01/26/2007
Last updated
06/16/2021
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