Individual
CHRISTINE Y BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1412 NE 88TH ST, VANCOUVER, WA 98665-9620
(360) 574-4074
(360) 574-4074
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00008014
WA
1223G0001X
General Practice Dentistry
Primary
DE00008014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0175782
STATE LABOR & INDUSTRIES
WA
05
—
5027594
—
WA
01
—
5524LO
REGENCE BLUE SHIELD
WA
Enumeration date
11/01/2006
Last updated
03/20/2025
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