Provider Demographics
NPI:1154535870
Name:HUGHES, CHRISTINA ANNE (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17791 FJORD DR NE STE 110
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-8482
Mailing Address - Country:US
Mailing Address - Phone:206-512-4846
Mailing Address - Fax:425-412-8136
Practice Address - Street 1:17791 FJORD DR NE STE 110
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8482
Practice Address - Country:US
Practice Address - Phone:206-512-4846
Practice Address - Fax:425-412-8136
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601225722084P0800X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0261173OtherL AND I
WA8916725Medicare PIN
WA8890117Medicare PIN
WA8916727Medicare PIN
WA8916726Medicare PIN