Individual
KENT S HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP, LMLP
Contact information
Practice address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Mailing address
530 NW 27TH ST, CORVALLIS, OR 97330-5223
(541) 766-6835
(541) 766-6186
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LCP 209
KS
103T00000X
Psychologist
LMLP 0271
KS
Other
Enumeration date
05/16/2006
Last updated
01/09/2017
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