Provider Demographics
NPI:1891157533
Name:PINS AND NEEDLES ACUPUNCTURE
Entity Type:Organization
Organization Name:PINS AND NEEDLES ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLYER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, LMP
Authorized Official - Phone:425-556-0484
Mailing Address - Street 1:PO BOX 53223
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98015-3223
Mailing Address - Country:US
Mailing Address - Phone:425-556-0484
Mailing Address - Fax:
Practice Address - Street 1:12356 NORTHUP WAY
Practice Address - Street 2:STE 101
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1956
Practice Address - Country:US
Practice Address - Phone:425-556-0484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60132448171100000X
WA60232240171100000X
WA60172725174400000X
WA60257521175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty