Individual
KIMBERLY HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N GRAHAM ST, SUITE 430, PORTLAND, OR 97227-1683
(503) 413-3013
(503) 413-1501
Mailing address
300 N GRAHAM ST, SUITE 430, PORTLAND, OR 97227-1683
(503) 413-3013
(503) 413-1501
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100
PHYSICAL THEAPY LISCENSING BOARD OF OREGON
OR
Enumeration date
09/04/2009
Last updated
12/06/2010
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