Individual
GRANT HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
THW000004075
OR
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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