Provider Demographics
NPI:1225295751
Name:HILTON, ALYSA PATRICIA (RN, MS, ANP)
Entity Type:Individual
Prefix:MRS
First Name:ALYSA
Middle Name:PATRICIA
Last Name:HILTON
Suffix:
Gender:F
Credentials:RN, MS, ANP
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 490
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OR
Mailing Address - Zip Code:97140-0490
Mailing Address - Country:US
Mailing Address - Phone:503-351-3565
Mailing Address - Fax:
Practice Address - Street 1:25749 SW CANYON CREEK RD
Practice Address - Street 2:SUITE 600
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-6629
Practice Address - Country:US
Practice Address - Phone:503-486-1022
Practice Address - Fax:503-682-7596
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR084056955N3363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health