MEDICARE: DR. CHRISTOPHER S QUARLES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	04-24734	KS
2	207Q00000X	Family Medicine Physician	MD60972406	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629057658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER S QUARLES MD

Provider Business Mailing Address
First Line	:	450 S KITSAP BLVD
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-3773
Country	:	US
Telephone Number	:	360-874-5900
Fax Number	:	253-944-2099

Provider Business Practice Location Address
First Line	:	450 S KITSAP BLVD
Second Line	:
City	:	PORT ORCHARD
State	:	WA
Zip	:	98366-3773
Country	:	US
Telephone Number	:	360-874-5900
Fax Number	:	253-944-2099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	12/08/2020

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Directions to “ DR. CHRISTOPHER S QUARLES MD” Practice Location

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