Provider Demographics
NPI:1114905056
Name:HILE, LORINDA
Entity Type:Individual
Prefix:
First Name:LORINDA
Middle Name:
Last Name:HILE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 148TH AVE NE
Mailing Address - Street 2:APT. #JJ203
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3088
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4513 148TH AVE NE
Practice Address - Street 2:APT. #JJ203
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3088
Practice Address - Country:US
Practice Address - Phone:425-760-6934
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00021785183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician