Healthcare Provider Details

I. General information

NPI: 1801156161
Provider Name (Legal Business Name): JENNIFER RUTH CHRISTENSON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY STE 200
SEATTLE WA
98122-5373
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 206-215-1770
  • Fax: 206-215-1771
Mailing address:
  • Phone: 206-320-4476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberOP61622234
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: