Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD00039813 | WA |
NPI | 1023032976 |
---|---|
Provider Name | Janice D Christensen |
First Address | Spokane, WA 99204-2349 |
Second Address | Spokane, WA 99204-2349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 23/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060063231 | RRB (01) | WA |
806084900 | (05) | ID |
8279879 | (05) | WA |
F71836 | (02) |