Provider Demographics
NPI:1902193899
Name:ORTON, SHEILA ANNETTE (RPH)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANNETTE
Last Name:ORTON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 N EDEN RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99016-5085
Mailing Address - Country:US
Mailing Address - Phone:509-919-4763
Mailing Address - Fax:
Practice Address - Street 1:9120 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-1202
Practice Address - Country:US
Practice Address - Phone:509-464-4482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP5195183500000X
WA67848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist