Healthcare Provider Details

I. General information

NPI: 1275808420
Provider Name (Legal Business Name): SCOTT R HILL BC-HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 E. 19TH SUITE 1
THE DALLES OR
97058
US

IV. Provider business mailing address

1815 E. 19TH SUITE 1
THE DALLES OR
97058
US

V. Phone/Fax

Practice location:
  • Phone: 541-298-8676
  • Fax: 541-298-7746
Mailing address:
  • Phone: 541-298-7746
  • Fax: 541-298-7746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: