Healthcare Provider Details

I. General information

NPI: 1780541326
Provider Name (Legal Business Name): LISA HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 GREENWAY DR NE
SALEM OR
97301-4535
US

IV. Provider business mailing address

3160 CENTER ST NE
SALEM OR
97301-4530
US

V. Phone/Fax

Practice location:
  • Phone: 503-362-5918
  • Fax:
Mailing address:
  • Phone: 503-585-4949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: