MEDICARE: CLARISSA Y HILL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	32003482A	IN
2	224Z00000X	Occupational Therapy Assistant	OC61075970	WA

General Provider Information

NPI Number	:	1801419874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISSA Y HILL

Provider Business Mailing Address
First Line	:	25117 SW PARKWAY AVE STE D
Second Line	:
City	:	WILSONVILLE
State	:	OR
Zip	:	97070-9697
Country	:	US
Telephone Number	:	971-255-4079
Fax Number	:

Provider Business Practice Location Address
First Line	:	343 WELLSIAN WAY STE 103
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4107
Country	:	US
Telephone Number	:	509-392-3773
Fax Number	:	509-362-9693

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2020
Last Update Date	:	12/15/2023

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Directions to “ CLARISSA Y HILL ” Practice Location

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