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Contact Information

ILENE HIBBERT
7668 SW MOHAWK ST
TUALATIN, OR97062-8119
 Phone: 503-885-5110
 Fax: 866-350-1311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for ILENE HIBBERT · (Female)

NPI # 1922427657
Status Active
Credentials
Entity Individual
Enumeration date 04/09/2014
Last updated 04/09/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 093003236RN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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