Individual
MS. TRICIA SICKENDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8401
Mailing address
1870 WESTCHESTER CT NW, SALEM, OR 97304-1841
(503) 409-5092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
17-CRM-069
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-CRM-069
CERTIFIED RECOVERY MENTOR
OR
Enumeration date
04/24/2017
Last updated
10/09/2018
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