Hill, Stacy Jo

Hill, Stacy Jo is an individual health care provider with primary practice located at 4655 Sw Griffith Dr Ste 165 , Beaverton OR 97005-8731. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Hill, Stacy Jo can be contacted via phone (503) 646-8592.

Contact Information

Primary practice address
4655 Sw Griffith Dr Ste 165 Beaverton OR 97005-8731
Phone: (503) 646-8592
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Pediatrics 152WP0200X 3548ATI Oregon
Eye and Vision Services Providers / Vision Therapy 152WV0400X 3548ATI Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 3548ATI Oregon

Profile Details

NPI number 1457765604
LBN Legal business name Hill, Stacy Jo
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Dec 6th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457765604 NPPES
Oregon MEDICAID 500673809

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