Individual
AMBER HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4242 COMMERCE ST, SUITE A, EUGENE, OR 97402-5418
(541) 484-9632
(541) 484-7466
Mailing address
16083 SW UPPER BOONES FERRY RD, STE. 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60486
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500668954
—
OR
01
—
P01371609
RR MEDICARE PTAN
OR
Enumeration date
02/28/2014
Last updated
11/28/2014
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