Individual
DR. JEFFREY KIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D., BS, AS, LMT
Contact information
Practice address
4004 SW KELLY AVE, PORTLAND, OR 97239-4389
(503) 595-5407
(503) 595-5408
Mailing address
5731 SE TENINO ST, PORTLAND, OR 97206-8969
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
10848
OR
175F00000X
Naturopath
Primary
1680
OR
Other
Enumeration date
01/03/2007
Last updated
03/01/2010
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