Provider Demographics
NPI:1245351535
Name:HILL, CHRISTOPHER VINCENT (DC)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:VINCENT
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10223 16TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-1433
Mailing Address - Country:US
Mailing Address - Phone:206-764-9600
Mailing Address - Fax:206-762-6600
Practice Address - Street 1:10223 16TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146-1433
Practice Address - Country:US
Practice Address - Phone:206-764-9600
Practice Address - Fax:206-762-6600
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2026946Medicaid
WA2854HIOtherREGENCE
WA150937OtherLABOR AND INDUSTRIES
WAAB24822Medicare ID - Type Unspecified
WAU69886Medicare UPIN