Provider Demographics
NPI:1316054349
Name:HILL, AMANDA JANE (ABOC)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:JANE
Last Name:HILL
Suffix:
Gender:F
Credentials:ABOC
Other - Prefix:MS
Other - First Name:AMANDA
Other - Middle Name:JAND
Other - Last Name:PYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ABOC
Mailing Address - Street 1:1319 SE MILLER ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6621
Mailing Address - Country:US
Mailing Address - Phone:503-757-3600
Mailing Address - Fax:
Practice Address - Street 1:4855 SW WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3460
Practice Address - Country:US
Practice Address - Phone:503-520-4975
Practice Address - Fax:503-626-4409
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician