Thomas Cole Willson Hilliard, PA-C
Physician Assistant, Medical in Oregon City, OR. Individual provider (NPI-1).
NPI number1982196846
StatusActive
Last updated in NPPESDec 9, 2019
Details
- NPI
- 1982196846
- Entity type
- Individual (NPI-1)
- Name
- Thomas Cole Willson Hilliard
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2018
- Certification date
- Dec 9, 2019
- Last updated
- Dec 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA196431 | OR | Yes |
Practice location
1508 Division St Ste 105Oregon City, OR 97045-1584
Phone 503-656-0836 · Fax 503-656-9464
Mailing address
2737 Sw 1st Ave Apt 2Portland, OR 97201-4732
Other practice locations
7401 Sw Washo Ct Ste 100
Tualatin, OR 97062-8342
Tualatin, OR 97062-8342
Phone 503-656-0836 · Fax 503-656-9464
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