Individual
HILLARY MD LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
Mailing address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
(503) 359-5479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD193474
OR
Other
Enumeration date
01/15/2015
Last updated
08/12/2019
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