Ronald Scott Hillard
Individual provider Active NPI Peer Specialist · Lakeview, OR
NPI 1801438569 · NPPES record last updated Oct 15, 2019
Key facts
- NPI
- 1801438569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 35 S G St
Lakeview, OR 97630-1817 - Phone
- (541) 947-6021
- NPI assigned
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Health District | Current |
Accepting new patients |
Locations
35 S G St
Lakeview, OR 97630
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
35 S G St
Lakeview, OR 97630-1817
Mailing address
35 S G St
Lakeview, OR 97630-1817
Other providers in Lakeview, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.