Individual
MACKENZIE HILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1475 SE 100TH AVE, PORTLAND, OR 97216-2537
(503) 262-6000
Mailing address
1000 SE 160TH AVE APT KK293, VANCOUVER, WA 98683-9616
(360) 356-5571
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09161
OR
225200000X
Physical Therapy Assistant
P160548474
WA
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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