Basic Information
| Provider Information | |||||||||
| NPI: | 1841661956 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | CORY | ||||||||
| MiddleName: | ROBERT | ||||||||
| NamePrefix: | MR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8800 SE SUNNYSIDE RD STE 300N | ||||||||
| Address2: | |||||||||
| City: | CLACKAMAS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970155703 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812862999 | ||||||||
| FaxNumber: | 5126074893 | ||||||||
| Practice Location | |||||||||
| Address1: | 3138 KIMBALL AVE | ||||||||
| Address2: | |||||||||
| City: | WATERLOO | ||||||||
| State: | IA | ||||||||
| PostalCode: | 507025253 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3192344360 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/14/2015 | ||||||||
| LastUpdateDate: | 12/28/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | 17001458A | IN | N | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237700000X | 3257 | IL | N | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237700000X | 2101002283 | VA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237700000X | 094684 | IA | N | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.