Healthcare Provider Details

I. General information

NPI: 1396487104
Provider Name (Legal Business Name): CHRISTOPHER JOHN HOMSI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1608 S J ST FL 5
TACOMA WA
98405-4930
US

IV. Provider business mailing address

1608 S J ST FL 5
TACOMA WA
98405-4930
US

V. Phone/Fax

Practice location:
  • Phone: 253-274-7505
  • Fax: 253-985-2853
Mailing address:
  • Phone: 253-274-7505
  • Fax: 253-985-2853

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDO.OP.70100793
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: