Healthcare Provider Details

I. General information

NPI: 1700216942
Provider Name (Legal Business Name): KAREN ANN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E 13TH AVE 106
EUGENE OR
97401-3535
US

IV. Provider business mailing address

20 E 13TH AVE 106
EUGENE OR
97401-3535
US

V. Phone/Fax

Practice location:
  • Phone: 541-913-5556
  • Fax:
Mailing address:
  • Phone: 541-913-5556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

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: