Individual
SHAUNA MICHELLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 891-6201
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 891-6201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00048409
WA
Other
Enumeration date
12/30/2006
Last updated
02/04/2022
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