Provider Demographics
NPI:1861513152
Name:HILTON, V. JASON (LCSW)
Entity type:Individual
Prefix:
First Name:V.
Middle Name:JASON
Last Name:HILTON
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 CROISAN SCENIC WAY S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-3658
Mailing Address - Country:US
Mailing Address - Phone:503-585-2276
Mailing Address - Fax:
Practice Address - Street 1:2460 W NOB HILL ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97302-4437
Practice Address - Country:US
Practice Address - Phone:503-585-2276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical