Basic Information
| Provider Information | |||||||||
| NPI: | 1154614402 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARRIS-SPINKS | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | LEE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | HRRIS | ||||||||
| OtherFirstName: | CHRISTINE | ||||||||
| OtherMiddleName: | LEE | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 205 10TH ST NE STE 200 | ||||||||
| Address2: | NE SUITE 200 | ||||||||
| City: | AUBURN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980024045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533515300 | ||||||||
| FaxNumber: | 2533515300 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 10TH ST NE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | AUBURN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980024045 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2533515300 | ||||||||
| FaxNumber: | 2533515399 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2011 | ||||||||
| LastUpdateDate: | 12/05/2016 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | |||||||||
| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ML60225326 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | DR.0054063 | CO | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD60391124 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.