Individual
DR. RUSSELL D HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9330 59TH AVE SW, - MULTICARE BEHAVIORAL HEALTH, LAKEWOOD, WA 98499-2858
(253) 445-8120
(253) 697-8590
Mailing address
P.O. BOX 5299, MS: 1313-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60336308
WA
Other
Enumeration date
03/14/2006
Last updated
02/23/2022
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