Individual
MR. J MICHAEL HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05381
NC
363A00000X
Physician Assistant
Primary
PA201916
OR
363AM0700X
Medical Physician Assistant
5601006174
MI
Other
Enumeration date
09/15/2011
Last updated
08/01/2024
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