Provider Demographics
NPI:1609169655
Name:HILL, CHERRY S (MS CADC 1)
Entity Type:Individual
Prefix:
First Name:CHERRY
Middle Name:S
Last Name:HILL
Suffix:
Gender:F
Credentials:MS CADC 1
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 2433
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-1925
Mailing Address - Country:US
Mailing Address - Phone:503-820-9704
Mailing Address - Fax:
Practice Address - Street 1:2289 SE 56TH PL
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8111
Practice Address - Country:US
Practice Address - Phone:503-820-9704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)