Healthcare Provider Details
I. General information
NPI: 1275607814
Provider Name (Legal Business Name): CHRISTOPHER M KRUMM ND, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/17/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16255 NE 87TH ST STE 150
REDMOND WA
98052-7464
US
IV. Provider business mailing address
955 POWELL AVE SW
RENTON WA
98057-2908
US
V. Phone/Fax
- Phone: 425-882-1697
- Fax: 425-885-4179
- Phone: 425-277-1311
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | 2547 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | 1314 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: