Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | RN2264873 | MA |
Y | 363LA2100X | Nurse Practitioner - Acute Care | 201601297NP-PP | OR |
NPI | 1013224724 |
---|---|
Provider Name | Ms. Alicia Ann Hill |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2010 |
Last Update Date | 22/03/2016 |