1861481418 NPI number — CHRISTOPHER LAFRAMBOISE PA C

Table of content: CHRISTOPHER LAFRAMBOISE PA C (NPI 1861481418)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861481418 NPI number — CHRISTOPHER LAFRAMBOISE PA C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAFRAMBOISE
Provider First Name:
CHRISTOPHER
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PA C
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861481418
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/11/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2185 SE 12TH PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARRENTON
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97146-9311
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
503-861-6240
Provider Business Mailing Address Fax Number:
503-861-6358

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2185 SE 12TH PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARRENTON
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97146-9311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-861-6240
Provider Business Practice Location Address Fax Number:
503-861-6358
Provider Enumeration Date:
10/17/2005

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: 363AM0700X , with the licence number:  5601004034 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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