Individual
MR. JASON HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 BAILEY HILL RD APT 97, EUGENE, OR 97402-3023
(541) 514-5483
Mailing address
1475 BAILEY HILL RD APT 97, EUGENE, OR 97402-3023
(541) 514-5483
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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