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NPI Code Detail

MEDICARE: MR. NATHAN J HILDEBRANT MD

MEDICARE: MR. NATHAN J HILDEBRANT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianMD24213OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1831283000OTHERORREGENCE BCBSO
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750332813
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NATHAN J HILDEBRANT MD
Provider Business Mailing Address
First Line : PO BOX 4008
Second Line :
City : PORTLAND
State : OR
Zip : 97208-4008
Country : US
Telephone Number : 503-372-2740
Fax Number : 503-372-2755
Provider Business Practice Location Address
First Line : 335 SE 8TH AVE
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-4246
Country : US
Telephone Number : 503-681-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 03/24/2011

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