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Individual

DR. LORI EASTER HILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, DNP

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239-3098
(503) 494-4910
(503) 494-8368

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201041006RN
OR
163W00000X
Registered Nurse
554689
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
201060011CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
81908
OK
367500000X
Certified Registered Nurse Anesthetist
AP105722
TX

Other

Enumeration date
05/23/2006
Last updated
07/24/2018
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