Individual
SAFFIYA N HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5922 NE 11TH AVE, PORTLAND, OR 97211-4208
(503) 282-5059
Mailing address
5922 NE 11TH AVE, PORTLAND, OR 97211-4208
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
07/30/2007
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