MEDICARE: DR. CHRISTINE ANN MARCELLUS DVM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174M00000X	Veterinarian	VT00006622	WA

General Provider Information

NPI Number	:	1659220754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE ANN MARCELLUS DVM

Provider Business Mailing Address
First Line	:	4004 S MYRTLE ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6064
Country	:	US
Telephone Number	:	509-945-3350
Fax Number	:

Provider Business Practice Location Address
First Line	:	4004 S MYRTLE ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-6064
Country	:	US
Telephone Number	:	509-945-3350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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