Provider Demographics
NPI:1942375043
Name:HILL, PAUL C (NP-C)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:HILL
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-1387
Mailing Address - Country:US
Mailing Address - Phone:541-963-1883
Mailing Address - Fax:541-963-1837
Practice Address - Street 1:900 SUNSET DR
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-1387
Practice Address - Country:US
Practice Address - Phone:541-963-1883
Practice Address - Fax:541-963-1837
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN10625363L00000X
OR201250091NP363LX0106X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1670479OtherMEDICARE PERFORMING PROVI
ID000010154570OtherREGENCE BS
ID1369096OtherMEDICARE GROUP PRICING NU
IDC5602OtherBLUE CROSS
IDC5602OtherBLUE CROSS