Healthcare Provider Details

I. General information

NPI: 1164412755
Provider Name (Legal Business Name): CHRISTINE MICHELLE SEALS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E PARK ST
EKALAKA MT
59324
US

IV. Provider business mailing address

1777 LARIMER ST APT 605
DENVER CO
80202-1543
US

V. Phone/Fax

Practice location:
  • Phone: 541-530-7849
  • Fax:
Mailing address:
  • Phone: 541-530-7849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD22714
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: