Individual
MR. COLBY CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 426-6344
Mailing address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP60892185
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP60892185
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108282
—
WA
Enumeration date
07/25/2018
Last updated
12/02/2020
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