Healthcare Provider Details

I. General information

NPI: 1366969974
Provider Name (Legal Business Name): CHRISTINE CHHUN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2017
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 ROOSEVELT WAY NE
SEATTLE WA
98125-6234
US

IV. Provider business mailing address

11100 ROOSEVELT WAY NE
SEATTLE WA
98125-6234
US

V. Phone/Fax

Practice location:
  • Phone: 206-361-0188
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHRM.PH.61088912
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: