1811235518 NPI number — MRS. CHRISTINE KAY DILLINGER MA

Table of content: MRS. CHRISTINE KAY DILLINGER MA (NPI 1811235518)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811235518 NPI number — MRS. CHRISTINE KAY DILLINGER MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DILLINGER
Provider First Name:
CHRISTINE
Provider Middle Name:
KAY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NELLY
Provider Other First Name:
CHRISTINE
Provider Other Middle Name:
KAY
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1811235518
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7931 NE LOOWIT LOOP APT 7
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98662-6458
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-573-5230
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13501 NE 28TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98682-8091
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-604-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 250520D . This is a "STATE OF WASHINGTON STATE BOARD OF EDUCATION" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".




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