Provider Demographics
NPI:1912074279
Name:BICKSON, CHRISTINE JOAN (ND)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:JOAN
Last Name:BICKSON
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2901 NE BLAKELEY ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3168
Mailing Address - Country:US
Mailing Address - Phone:206-459-1446
Mailing Address - Fax:206-729-2636
Practice Address - Street 1:2901 NE BLAKELEY ST STE 3B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3168
Practice Address - Country:US
Practice Address - Phone:206-459-1446
Practice Address - Fax:206-729-2636
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA921175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath