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Individual

GLEN STANLEY CHRISTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1780 NW MYHRE RD, SUITE 2120, SILVERDALE, WA 98383-8676
(360) 782-3100
(360) 782-3112
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00027251
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1160015840
RAILROAD MEDICARE
01
1236CH
REGENCE
01
4586499
AETNA
01
75425
LABOR & INDUSTRIES
WA
05
8117723
WA
Enumeration date
05/12/2006
Last updated
03/07/2023
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