Provider Demographics
NPI:1649205600
Name:HILLER, AMIE L (MD)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:L
Last Name:HILLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:OP32
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-7231
Mailing Address - Fax:503-494-9059
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:OP32
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-7772
Practice Address - Fax:503-494-9059
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2014-12-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD274942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology