Individual
MR. JIM EDWARD HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(503) 813-3860
Mailing address
1993 EASTEND DR, MEMPHIS, TN 38104-2754
(901) 233-0009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
110789
TN
163W00000X
Registered Nurse
201341149RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201360034CRNA
OR
Other
Enumeration date
06/05/2013
Last updated
02/04/2022
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