| NPI Details | |
|---|---|
| NPI | 1942487350 |
| Gender | Female |
| Enumeration Date | 01/28/2008 |
| Last Updated | 01/28/2008 |
| Entity Type | Individual |
| Active | Over 9 years ago |
| Practice Location | |
|---|---|
| 3034 NE MARTIN LUTHER KING BLVD PORTLAND OR, 97212-3053, US |
|
| Phone | (503) 238-0769 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 8459 PORTLAND OR, 97207-8459, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| 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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