Healthcare Provider Details

I. General information

NPI: 1306022579
Provider Name (Legal Business Name): CHRISTY R KNUDSON LMP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4097 JAMES ST
BELLINGHAM WA
98226-7736
US

IV. Provider business mailing address

4097 JAMES ST
BELLINGHAM WA
98226-7736
US

V. Phone/Fax

Practice location:
  • Phone: 360-671-6867
  • Fax: 360-671-6877
Mailing address:
  • Phone: 360-671-6867
  • Fax: 360-671-6877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMA00025118
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: