Individual
JOHN HILT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
61615 ATHLETIC CLUB DR, BEND, OR 97702-3247
(541) 382-7890
(541) 382-7498
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OR 60932
OR
2251X0800X
Orthopedic Physical Therapist
PTL.0012686
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500687285
—
OR
Enumeration date
06/23/2014
Last updated
07/16/2015
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