Healthcare Provider Details

I. General information

NPI: 1003268871
Provider Name (Legal Business Name): ASHLEY HILLIKER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2016
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S DAISY ST
SALMON ID
83467-4709
US

IV. Provider business mailing address

705 LENA ST
SALMON ID
83467-4208
US

V. Phone/Fax

Practice location:
  • Phone: 208-756-5600
  • Fax:
Mailing address:
  • Phone: 82-756-8515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-1600
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMED-PAC-LIC-159925
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: