Individual
SOPHIA MAY LICHENSTEIN-HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60162501
WA
363LF0000X
Family Nurse Practitioner
Primary
201503416NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0277788
DEPT OF LABOR & INDUSTRIES
WA
01
—
1164727764
MONTANA DSHS
WA
05
—
1164727764
—
WA
05
—
500690191
—
OR
01
—
P00991123
RAILROAD MEDICARE
WA
Enumeration date
01/13/2011
Last updated
12/17/2020
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