Individual
MICHELLE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 NW EASTMAN PKWY STE 175, GRESHAM, OR 97030-3859
(503) 610-3853
Mailing address
1550 NW EASTMAN PKWY STE 175, GRESHAM, OR 97030-3859
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113328
OR
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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