Provider Demographics
NPI:1770667347
Name:BJORNSON, HILARY KINNA (DC)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:KINNA
Last Name:BJORNSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SW 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:OR
Mailing Address - Zip Code:97914-2718
Mailing Address - Country:US
Mailing Address - Phone:541-889-7797
Mailing Address - Fax:541-889-3835
Practice Address - Street 1:200 SW 2ND AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:OR
Practice Address - Zip Code:97914-2718
Practice Address - Country:US
Practice Address - Phone:541-889-7797
Practice Address - Fax:541-889-3835
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR273301111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR025488003OtherBLUE CROSS OREGON
ID00010142633OtherBLUE SHIELD OF IDAHO
ID00010142633OtherBLUE SHIELD OF IDAHO