Provider Demographics
NPI:1386805109
Name:HARTNESS, CHRISTOPHER BRINSON (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:BRINSON
Last Name:HARTNESS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19020 33RD AVE W STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4748
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1500
Practice Address - Street 1:413 LILLY RD NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-5133
Practice Address - Country:US
Practice Address - Phone:604-937-4603
Practice Address - Fax:360-493-7253
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD611696822085R0202X
CODR.00697092085R0202X
GA753402085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0440809OtherL & I - RADIA
WA0440815OtherL & I - RADIA
WA0440823OtherL & I - EVERGREEN RADIA
WA0440825OtherL & I - SOUTH SOUND RADIOLOGY
WA0440829OtherL & I - VANCOUVER RADIOLOGISTS
WA2182328Medicaid
WA0440817OtherL & I - SWEDISH RADIA
WA0440828OtherL & I - SEATTLE RADIOLOGY