Individual
ANGELA HILLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC REGISTRANT
Contact information
Practice address
1052 SW 4TH AVE STE 2, ONTARIO, OR 97914-2100
(541) 216-6068
(541) 216-6094
Mailing address
1052 SW 4TH AVE STE 2, ONTARIO, OR 97914-2100
(541) 216-6068
(541) 216-6094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500792489
—
OR
Enumeration date
06/29/2023
Last updated
06/29/2023
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