Organization
CHERYL B. HICKETHIER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL HICKETHIER MD, MPH (OWNER)
(503) 656-5657
Entity
Organization
Contact information
Practice address
14831 SE 82ND DR, CLACKAMAS, OR 97015-7624
(503) 656-5657
(503) 656-5658
Mailing address
14831 SE 82ND DR, CLACKAMAS, OR 97015-7624
(503) 656-5657
(503) 656-5658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15365
OR
Other
Enumeration date
02/18/2008
Last updated
09/03/2013
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