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NPI Code Detail

MEDICARE: DR. ANANDAM HILDE MD

MEDICARE: DR. ANANDAM HILDE MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianMD180385OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861753352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANANDAM HILDE MD
Provider Business Mailing Address
First Line : 1400 SW 5TH AVE STE 500
Second Line :
City : PORTLAND
State : OR
Zip : 97201-5537
Country : US
Telephone Number : 866-617-6855
Fax Number : 503-346-8015
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-6176
Fax Number : 503-494-6152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2012
Last Update Date : 01/27/2026

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Directions to “ DR. ANANDAM HILDE MD” Practice Location

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