Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | FE60886581 | WA |
Y | 2080P0208X | Pediatric Infectious Diseases | MD61184272 | WA |
NPI | 1508285107 |
---|---|
Provider Name | Miss Christine Marie Anterasian |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2014 |
Last Update Date | 26/07/2021 |