Provider Demographics
NPI:1861616617
Name:BOSTED, CRISTOPHER E (ND)
Entity type:Individual
Prefix:DR
First Name:CRISTOPHER
Middle Name:E
Last Name:BOSTED
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906 N 91ST ST # A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-3910
Mailing Address - Country:US
Mailing Address - Phone:206-550-8516
Mailing Address - Fax:
Practice Address - Street 1:1904 3RD AVE
Practice Address - Street 2:SUITE 423
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1126
Practice Address - Country:US
Practice Address - Phone:206-282-2486
Practice Address - Fax:206-282-2512
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT 1147175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath