Individual
DR. CRAIG CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10700 MERIDIAN AVE N STE G11, SEATTLE, WA 98133-9008
(206) 302-2900
Mailing address
3501 107TH DR SE, LAKE STEVENS, WA 98258-5197
(425) 231-5017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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