Individual
BENJAMIN TURNER HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(901) 828-5575
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(901) 828-5575
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10017235
OR
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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