Thomas Hicks

NPI 1922168335 - Dentist - 1223G0001X

NPI Details
NPI 1922168335
Gender Male
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3580 SE 82ND AVE
PORTLAND OR, 97266-2902, US
Phone (503) 777-0761
Fax
Business Location
3580 SE 82ND AVE
PORTLAND OR, 97266-2902, US
Phone (503) 777-0761
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Oregon
License Number D7362
Remove 1922168335 NPI Number
 

According to our database, Thomas Hicks NPI is 1922168335, taxonomy code is 1223G0001X and license number is D7362, license state is located at Oregon. Thomas Hicks physically located at 3580 Se 82nd Ave, Portland OR, 97266-2902. NPI Number Thomas Hicks has the Individual type.

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1922168335 NPI number is provided on an as is basis without warranty of any kind. 1922168335 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Hicks are for informational purposes only.