Provider Demographics
NPI:1710136379
Name:GHORMLEY, JILL CATHLEEN (ND)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:CATHLEEN
Last Name:GHORMLEY
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 NW GILMAN BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2728
Mailing Address - Country:US
Mailing Address - Phone:425-600-3133
Mailing Address - Fax:425-412-6382
Practice Address - Street 1:450 NW GILMAN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2728
Practice Address - Country:US
Practice Address - Phone:425-600-3133
Practice Address - Fax:425-412-6382
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1654175F00000X
WANT 00001560175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath