Healthcare Provider Details

I. General information

NPI: 1982121125
Provider Name (Legal Business Name): CHRISTIAN D GARRIDO PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2017
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 N DIVISION ST STE A
SPOKANE WA
99207-2427
US

IV. Provider business mailing address

8524 W GAGE BLVD BLDG A1 BOX 319
KENNEWICK WA
99336
US

V. Phone/Fax

Practice location:
  • Phone: 509-824-6080
  • Fax:
Mailing address:
  • Phone: 509-591-0070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA-1845
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA60920248
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA60920124
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: