Provider Demographics
NPI:1962574384
Name:HUNT, CHRISTIAN GWIN (MACOM)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:GWIN
Last Name:HUNT
Suffix:
Gender:F
Credentials:MACOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 N 36TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8671
Mailing Address - Country:US
Mailing Address - Phone:206-547-1104
Mailing Address - Fax:
Practice Address - Street 1:469 N 36TH ST STE C
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8671
Practice Address - Country:US
Practice Address - Phone:206-547-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist