Individual
MS. HILLARY L CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
6600 SW 105TH AVE STE 120, BEAVERTON, OR 97008-8800
(971) 245-1332
(503) 641-5179
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(406) 671-8501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
100541
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202100980NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61163183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00
—
MT
Enumeration date
02/03/2010
Last updated
01/27/2025
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