Provider Demographics
NPI:1780566919
Name:HILLAREY ROTHENBERGER, LLC
Entity type:Organization
Organization Name:HILLAREY ROTHENBERGER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HILLAREY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTHENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-936-5449
Mailing Address - Street 1:2874 BASTILLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97306-8816
Mailing Address - Country:US
Mailing Address - Phone:541-936-5449
Mailing Address - Fax:
Practice Address - Street 1:2311 NW VAN BUREN AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-5399
Practice Address - Country:US
Practice Address - Phone:971-701-0532
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)