Individual
BRIAN J HILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
853 WATSON ST N STE 201, ENUMCLAW, WA 98022
(360) 768-4045
(360) 226-3942
Mailing address
853 WATSON ST N STE 201, ENUMCLAW, WA 98022-9348
(360) 768-4045
(360) 226-3942
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60115653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0254801
STATE L&I
WA
Enumeration date
09/25/2009
Last updated
07/17/2018
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