Individual
SABRINA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
234 NE FREMONT ST, PORTLAND, OR 97212-2032
(503) 913-3332
Mailing address
234 NE FREMONT ST, PORTLAND, OR 97212-2032
(503) 913-3332
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC191739
OR
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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