Individual
MR. KIRK RUSSELL HILLEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
182 SW ACADEMY ST STE 302, DALLAS, OR 97338-1900
(503) 623-8175
(503) 831-3499
Mailing address
182 SW ACADEMY ST STE 302, DALLAS, OR 97338-1900
(503) 623-8175
(503) 831-3499
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
200642100RN
OR
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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