Individual
AUDREY YOUNG CRISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3216 NE 45TH PL STE 301, SEATTLE, WA 98105-4028
(206) 339-3360
(206) 212-1100
Mailing address
3216 NE 45TH PL STE 301, SEATTLE, WA 98105-4028
(206) 339-3360
(206) 212-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00040205
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110239573
RAILROAD MEDICARE
WA
01
—
185190
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8319576
—
WA
Enumeration date
01/03/2007
Last updated
08/16/2024
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