Provider Demographics
NPI:1275808420
Name:HILL, SCOTT R (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:R
Last Name:HILL
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1815 E. 19TH
Mailing Address - Street 2:SUITE 1
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058
Mailing Address - Country:US
Mailing Address - Phone:541-298-7746
Mailing Address - Fax:541-298-7746
Practice Address - Street 1:1815 E. 19TH
Practice Address - Street 2:SUITE 1
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058
Practice Address - Country:US
Practice Address - Phone:541-298-8676
Practice Address - Fax:541-298-7746
Is Sole Proprietor?:No
Enumeration Date:2012-03-20
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist