Individual
LATASHA MARIE HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 SE 196TH AVE, PORTLAND, OR 97233-5741
(971) 224-9830
Mailing address
432 SE 196TH AVE, PORTLAND, OR 97233
(971) 224-9830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
109954
OR
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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