Individual
MICHAEL POWEL HICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5295 NE ELAM YOUNG PKWY, SUITE 180, HILLSBORO, OR 97124-7567
(503) 615-0960
(503) 615-8572
Mailing address
5295 NE ELAM YOUNG PKWY, SUITE 180, HILLSBORO, OR 97124-7567
(503) 615-0960
(503) 615-8572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24159
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286230
—
OR
Enumeration date
05/12/2006
Last updated
01/19/2012
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