| NPI Details | |
|---|---|
| NPI | 1023140969 |
| Gender | Male |
| Enumeration Date | 03/09/2007 |
| Last Updated | 08/18/2011 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 8305 SE MONTEREY AVE STE 104 PORTLAND OR, 97086, US |
|
| Phone | (503) 786-7786 |
| Fax | (503) 786-7191 |
| Business Location | |
|---|---|
| 8305 SE MONTEREY AVE STE 104 PORTLAND OR, 97086-7728, US |
|
| Phone | (503) 786-7786 |
| Fax | (503) 786-7191 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 111N00000X |
| License State | Oregon |
| License Number | 27-3057 |
| Remove 1023140969 NPI Number | |
According to our database, Dr. Michael William Hickel D.C. NPI is 1023140969, taxonomy code is 111N00000X and license number is 27-3057, license state is located at Oregon. Michael William Hickel D.C. physically located at 8305 Se Monterey Ave Ste 104, Portland OR, 97086. NPI Number Michael William Hickel D.C. has the Individual type.
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1023140969 NPI number is provided on an as is basis without warranty of any kind. 1023140969 is maintained by the National Plan & Provider Enumeration System. The contents of Michael William Hickel D.C. are for informational purposes only.
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