Christofer D Borg, CMD, RT(T)

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

RT00004050 Issued in WA

Practice address

1660 S Columbian Way
Seattle, WA 98108-1532

Phone

(206) 768-5356

Fax

(206) 768-5331

NPI assigned

Jun 30, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1215248695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S SNOQUALMIE ST STE 2D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081740",
            "telephone_number": "206-368-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-768-5356",
            "fax_number": "206-768-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORG",
        "first_name": "CHRISTOFER",
        "middle_name": "D",
        "credential": "CMD, RT(T)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "RT00004050",
            "primary": false
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "WA",
            "license": "RT00004050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS",
            "identifier": "330733",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DOSIMETRIST CERTIFICATION BOARD",
            "identifier": "1474862",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William David Borden, MSW, RC
• Kathileen Boren
• Mana Borenstine, LICSW
• Dylan Lawrence Borer, LMHCA
• Heather Leah Boreske, LMP
• Wendy-Lynne Marie Borg
• Alena Borgatti, PHD
• Alec Weiss Borgen, JD, MA
• Catherine Borges, BCBA
• Juliana Borges

• Radiologic Technologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Radiologic Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.