Individual
CHRISTINE GRACE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 SE BARRINGTON DR STE 203, OAK HARBOR, WA 98277-3200
(360) 240-0022
Mailing address
625 SE MAYLOR ST, OAK HARBOR, WA 98277-5413
(805) 206-6465
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
557863944
MEDICARE
WA
Enumeration date
06/07/2016
Last updated
06/07/2016
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