=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538582861
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CITY OF HILLSBORO
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2014
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 240 S 1ST AVE.
-----------------------------------------------------
City | HILLSBORO
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97123
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-681-6166
-----------------------------------------------------
Fax | 503-681-6208
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 150 E MAIN ST.
-----------------------------------------------------
City | HILLSBORO
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97123
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-681-6166
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACTING CITY MANAGER
-----------------------------------------------------
Name | ROBBY HAMMOND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 503-681-6100
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 3410
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | 53104
-----------------------------------------------------
License Number State | OR
-----------------------------------------------------