Provider Demographics
NPI:1457592966
Name:SHINSATO, LORINA R (ND, EAMP)
Entity Type:Individual
Prefix:DR
First Name:LORINA
Middle Name:R
Last Name:SHINSATO
Suffix:
Gender:F
Credentials:ND, EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15446 BEL RED RD
Mailing Address - Street 2:SUITE B-15
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5501
Mailing Address - Country:US
Mailing Address - Phone:425-273-0741
Mailing Address - Fax:
Practice Address - Street 1:15446 BEL RED RD STE B15
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5507
Practice Address - Country:US
Practice Address - Phone:425-273-0741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-12
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60071822175F00000X
WAAC60071802171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist