Individual
DR. JUSTIN THOMAS HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
525 N SANTIAM HWY, LEBANON, OR 97355-4363
(541) 451-6479
(541) 451-7085
Mailing address
PO BOX 1193, CORVALLIS, OR 97339-1193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PG162468
OR
208M00000X
Hospitalist Physician
Primary
DO176931
OR
Other
Enumeration date
06/14/2013
Last updated
05/24/2021
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