Individual
DR. MICHAEL WILLIAM HICKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8305 SE MONTEREY AVE STE 104, PORTLAND, OR 97086
(503) 786-7786
(503) 786-7191
Mailing address
8305 SE MONTEREY AVE STE 104, PORTLAND, OR 97086-7728
(503) 786-7786
(503) 786-7191
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27-3057
OR
Other
Enumeration date
03/09/2007
Last updated
08/18/2011
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