Provider Demographics
NPI:1043927320
Name:HILL, HANNAH CHRISTINE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:CHRISTINE
Last Name:HILL
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 137
Mailing Address - Street 2:
Mailing Address - City:HAINES
Mailing Address - State:OR
Mailing Address - Zip Code:97833-0137
Mailing Address - Country:US
Mailing Address - Phone:541-403-2976
Mailing Address - Fax:
Practice Address - Street 1:730 3RD ST
Practice Address - Street 2:
Practice Address - City:HAINES
Practice Address - State:OR
Practice Address - Zip Code:97833-2533
Practice Address - Country:US
Practice Address - Phone:541-403-2976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201807176RN163WL0100X
ORL-307281174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR201807176RNOtherOSBN
L-307281OtherIBLCE