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General NPI Number Information
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NPI Number | 1326841479
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Entity Type | Organization
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Legal Business Name | HILLSIDE PSYCHIATRY, LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2406 SE 60TH AVE STE 202
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City | PORTLAND
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State | OR
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Zip | 97206-1303
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Country | US
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Telephone | 503-506-4384
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Fax | 503-506-0673
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Provider Business Mailing Address
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Address Line | 5441 S MACADAM AVE # 8080
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City | PORTLAND
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State | OR
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Zip | 97239-6106
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Country | US
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Telephone | 503-506-4384
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Fax | 503-506-0673
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. HEATHER HEMMEGER
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Credential | PHARMD, MSN, PMHNP
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Telephone | 503-506-4384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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