Ilene Hibbert

NPI #1922427657 in Tualatin, Oregon

Provider Information

NPI Number
1922427657
Entity Type
Individual
Name
Ilene Hibbert
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Health Maintenance Organization
Enumeration Date
Apr 9, 2014
Last Updated
Apr 9, 2014

Practice Location

Address
7668 SW MOHAWK ST
State
Oregon
ZIP Code
97062-8119
Phone
(503) 885-5110

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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