Individual
KENDALL RAYE HICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 684-4172
(541) 684-4156
Mailing address
687 CHESHIRE AVE, EUGENE, OR 97402-5060
(541) 762-4556
(541) 684-4156
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16-05-22
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500661497
—
OR
Enumeration date
07/19/2013
Last updated
04/09/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us