| Doctor Name: | MRS. CHRISTINE CATHERINE SIDDALL |
| NPI Number: | 1033549100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN00126996 |
| Business Practice Address: | 7668 Sw Mohawk St Tualatin, OR - 970628119 |
| Business Phone Number: | 5038855000 |
| Business Fax Number: | 8663501311 |
| Mailing Address: | 7668 Sw Mohawk St, TUALATIN |
| State: | OR |
| Postal Code: | 970628119 |
| Phone Number: | 5038855000 |
| Fax Number: | 8663501311 |
| NPI Enumeration Date: | 11/26/2013 |
| NPI Last Update Date: | 11/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN00126996 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |