Basic Information
| Provider Information | |||||||||
| NPI: | 1851337497 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | URQUHART | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4029 NORTHWEST AVENUE | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607342330 | ||||||||
| FaxNumber: | 3607333783 | ||||||||
| Practice Location | |||||||||
| Address1: | 4029 NORTHWEST AVENUE | ||||||||
| Address2: | SUITE 203 | ||||||||
| City: | BELLINGHAM | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3607345400 | ||||||||
| FaxNumber: | 2538386418 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2006 | ||||||||
| LastUpdateDate: | 11/21/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | PA10000726 | WA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 363AM0700X | PA10000726 | WA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
ID Information
| ID | Type | State | Issuer | Description | 8325722 | 05 | WA | MEDICAID | 5075GO | 01 | WA | BSWA | OTHER | 970030372 | 01 | WA | RRGA | OTHER |