Healthcare Provider Details

I. General information

NPI: 1902944655
Provider Name (Legal Business Name): CANDIA MARIE HILLS LCSW, CADCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39740 PLEASANT ST
SANDY OR
97055-6412
US

IV. Provider business mailing address

2051 KAEN RD SUITE 367
OREGON CITY OR
97045-4035
US

V. Phone/Fax

Practice location:
  • Phone: 503-655-6950
  • Fax: 503-722-6939
Mailing address:
  • Phone: 503-722-6950
  • Fax: 503-722-6939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL5079
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: