Individual
AMY HICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
3500 HILYARD ST, EUGENE, OR 97405-3867
(720) 925-1742
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
982951
OR
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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