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General NPI Number Information
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NPI Number | 1780566919
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Entity Type | Organization
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Legal Business Name | HILLAREY ROTHENBERGER, LLC
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2311 NW VAN BUREN AVE
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City | CORVALLIS
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State | OR
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Zip | 97330-5399
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Country | US
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Telephone | 971-701-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 2874 BASTILLE AVE SE
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City | SALEM
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State | OR
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Zip | 97306-8816
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Country | US
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Telephone | 541-936-5449
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH CLINICIAN
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Name | HILLAREY ROTHENBERGER
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Credential | LCSW
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Telephone | 541-936-5449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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