Healthcare Provider Details

I. General information

NPI: 1477189389
Provider Name (Legal Business Name): CRISTINA HAJJAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA LONDONO

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST # 356540
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

PO BOX 50095
SEATTLE WA
98145-5095
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-2474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD61690601
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD61690601
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: