Individual
REBECCA ROBB-HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2230 NW PETTYGROVE ST STE 110, PORTLAND, OR 97210-2659
(503) 227-0350
(503) 227-0745
Mailing address
2230 NW PETTYGROVE ST STE 110, PORTLAND, OR 97210-2659
(503) 227-0350
(503) 227-0745
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1583
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804692004
BLUE CROSS BLUE SHIELD
OR
01
—
A004
TRICARE
OR
Enumeration date
10/13/2006
Last updated
04/12/2024
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