Individual provider Active NPI

Hillary Brooke Hotelling, MD

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1982673893
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18964 Issued in OR
Practice address
5119 NE 57TH Ave
Portland, OR 97218-2584
Phone
(503) 215-8050
Fax
(503) 215-8082
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18964 OR Primary

Addresses

Primary practice location

5119 NE 57TH Ave
Portland, OR 97218-2584

Mailing address

3834 NE Shaver St
Portland, OR 97212-1959
Phone (503) 335-9439

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hhotelling199577@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18964ORMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1982673893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3834 NE SHAVER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972121959",
            "telephone_number": "503-335-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 NE 57TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972182584",
            "telephone_number": "503-215-8050",
            "fax_number": "503-215-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTELLING",
        "first_name": "HILLARY",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "18964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hhotelling199577@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5119 NE 57th Ave",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972182584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.