Provider Demographics
NPI:1871056531
Name:WARNER, CHRISTINA LAUREN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LAUREN
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SAND POINT WAY NE, MS OA 5.154
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-1450
Mailing Address - Country:US
Mailing Address - Phone:206-987-3268
Mailing Address - Fax:
Practice Address - Street 1:4800 SAND POINT WAY NE, MS OA 5.154
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-1450
Practice Address - Country:US
Practice Address - Phone:206-987-3268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-10
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN685682084P0800X
WA612773162084P0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program