Provider Demographics
NPI:1730856337
Name:HILTBRAND ACUPUNCTURE & CHINESE MEDICINE LLC
Entity type:Organization
Organization Name:HILTBRAND ACUPUNCTURE & CHINESE MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RORY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILTBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, LAC
Authorized Official - Phone:206-466-1024
Mailing Address - Street 1:4457 E MERCER WAY
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-3827
Mailing Address - Country:US
Mailing Address - Phone:610-256-4592
Mailing Address - Fax:
Practice Address - Street 1:2825 80TH AVE SE STE 1
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2977
Practice Address - Country:US
Practice Address - Phone:206-466-1024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center