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NPI Code Detail

MEDICARE: DR. ROBERT J HILLSTROM D.O.

MEDICARE: DR. ROBERT J HILLSTROM D.O.
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
1207P00000XEmergency Medicine PhysicianDO29090OR

General Provider Information

NPI Number : 1811057862
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT J HILLSTROM D.O.
Provider Business Mailing Address
First Line : 20545 S MONPANO OVERLOOK DR
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-7343
Country : US
Telephone Number : 503-342-2575
Fax Number :
Provider Business Practice Location Address
First Line : 525 SE WASHINGTON ST
Second Line :
City : DALLAS
State : OR
Zip : 97338-2834
Country : US
Telephone Number : 503-623-8301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/01/2014

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