Provider Demographics
NPI:1386917441
Name:GIFFIN, LAURINDA SILVA (CPCP)
Entity type:Individual
Prefix:MS
First Name:LAURINDA
Middle Name:SILVA
Last Name:GIFFIN
Suffix:
Gender:F
Credentials:CPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 NE 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-1634
Mailing Address - Country:US
Mailing Address - Phone:360-896-9538
Mailing Address - Fax:186-663-1717
Practice Address - Street 1:7703 NE 72ND AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-1634
Practice Address - Country:US
Practice Address - Phone:360-896-9538
Practice Address - Fax:186-663-1717
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-20
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0001703246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other