Individual
MS. REBECCA THERESA HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP,PMHNP
Contact information
Practice address
21210 NW MAUZEY RD, HILLSBORO, OR 97124-9327
(503) 439-9531
(503) 531-3841
Mailing address
5415 SE MILWAUKIE AVE, PORTLAND, OR 97202-4940
(503) 233-5405
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
077038688N2 PNP PP
OR
363LP0200X
Pediatric Nurse Practitioner
AP30006393
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201150141NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDCH STATE OR
GROUP MEDICARE
OR
01
—
000486NP
OMAP
OR
01
—
164936 STATE OR
GROUP MEDICAID
OR
Enumeration date
07/05/2006
Last updated
10/06/2011
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