Individual
MS. CHRISTINE JEAN POLLASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2900 NW 106TH ST, VANCOUVER, WA 98685-4734
(509) 432-3084
Mailing address
2031 BROADWAY ST, SUITE C, VANCOUVER, WA 98663-3390
(509) 432-3084
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004715
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011106
—
WA
01
—
911383928
FED TAX ID
—
01
—
911635333
FEDERAL TAX ID
—
Enumeration date
08/03/2005
Last updated
06/22/2014
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