Healthcare Provider Details

I. General information

NPI: 1497535819
Provider Name (Legal Business Name): CLEA HILLER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2023
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 SW CENTURY DR STE 205
BEND OR
97702-1419
US

IV. Provider business mailing address

377 SW CENTURY DR STE 205
BEND OR
97702-1419
US

V. Phone/Fax

Practice location:
  • Phone: 458-202-9189
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC7719
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: