NPI Details | |
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NPI | 1942487350 |
Gender | Female |
Enumeration Date | 01/28/2008 |
Last Updated | 01/28/2008 |
Entity Type | Individual |
Active | Over 10 years ago |
Practice Location | |
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3034 NE MARTIN LUTHER KING BLVD PORTLAND OR, 97212-3053, US |
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Phone | (503) 238-0769 |
Fax |
Business Location | |
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PO BOX 8459 PORTLAND OR, 97207-8459, US |
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Phone | |
Fax |
Toxanomy | |
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Taxonomy Code | 372600000X |
License State | |
License Number | |
Remove 1942487350 NPI Number |
According to our database, Taheerah Hicks NPI is 1942487350, taxonomy code is 372600000X Taheerah Hicks physically located at 3034 Ne Martin Luther King Blvd, Portland OR, 97212-3053. NPI Number Taheerah Hicks has the Individual type.
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1942487350 NPI number is provided on an as is basis without warranty of any kind. 1942487350 is maintained by the National Plan & Provider Enumeration System. The contents of Taheerah Hicks are for informational purposes only.
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