Individual
ALAN HICKENBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7320 SW HUNZIKER RD, PORTLAND, OR 97223-8283
(503) 778-0787
Mailing address
1220 COLUMBIA ST, HOOD RIVER, OR 97031-1730
(503) 703-0602
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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