Basic Information
| Provider Information | |||||||||
| NPI: | 1821179557 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRICE | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | H | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1229 MADISON ST | ||||||||
| Address2: | STE 1440 | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981043538 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2063810269 | ||||||||
| FaxNumber: | 2068292083 | ||||||||
| Practice Location | |||||||||
| Address1: | 3005 112TH AVE NE | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | BELLEVUE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980048015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258993455 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2006 | ||||||||
| LastUpdateDate: | 01/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD00046951 | WA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 0039515 | 01 | WA | LABOR AND INDUSTRIES# | OTHER | 4878PR | 01 | WA | BLUE SHIELD# | OTHER | P00394657 | 01 | WA | RAILROAD MC# | OTHER | 8477994 | 05 | WA | MEDICAID |