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General NPI Number Information
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NPI Number | 1497786735
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Entity Type | Individual
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Provider Name | REBECCA THERESA HILL CPNP,PMHNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 21210 NW MAUZEY RD
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City | HILLSBORO
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State | OR
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Zip | 97124-9327
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Country | US
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Telephone | 503-439-9531
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Fax | 503-531-3841
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Provider Business Mailing Address
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Address Line | 5415 SE MILWAUKIE AVE
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City | PORTLAND
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State | OR
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Zip | 97202-4940
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Country | US
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Telephone | 503-233-5405
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 077038688N2 PNP PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP30006393
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201150141NP
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License Number State | OR
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