Provider Demographics
NPI:1154907251
Name:CASTANO-DUQUE, CHRISTIAN (MC 53910)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:CASTANO-DUQUE
Suffix:
Gender:M
Credentials:MC 53910
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13910 NE 38TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98682-8064
Mailing Address - Country:US
Mailing Address - Phone:360-773-5525
Mailing Address - Fax:
Practice Address - Street 1:13910 NE 38TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98682-8064
Practice Address - Country:US
Practice Address - Phone:360-773-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter