Healthcare Provider Details
I. General information
NPI: 1356548903
Provider Name (Legal Business Name): HILLARY ELIZABETH RACHEL LOWENSTEIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/28/2007
Last Update Date: 03/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9280 SE SUNNYBROOK BLVD SUITE 300
CLACKAMAS OR
97015-9353
US
IV. Provider business mailing address
9280 SE SUNNYBROOK BLVD SUITE 300
CLACKAMAS OR
97015-9353
US
V. Phone/Fax
- Phone: 503-233-5548
- Fax:
- Phone: 503-233-5548
- Fax: 503-230-1009
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | MD161803 |
| License Number State | OR |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: