Healthcare Provider Details

I. General information

NPI: 1548418155
Provider Name (Legal Business Name): WAYNE L HILL MD PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12040 NE 128TH ST
KIRKLAND WA
98034-3013
US

IV. Provider business mailing address

8187 NE JUANITA DR
KIRKLAND WA
98034-3532
US

V. Phone/Fax

Practice location:
  • Phone: 425-823-8386
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: WAYNE HILL
Title or Position: PRESIDENT
Credential: MD
Phone: 425-823-8386