Individual
MARY MICHELLE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 SE MORRISON ST STE 200, PORTLAND, OR 97214-2462
(503) 746-3373
Mailing address
6835 SW CAPITOL HILL RD APT 29, PORTLAND, OR 97219-2663
(503) 367-4878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A15410
OR
Other
Enumeration date
09/02/2022
Last updated
12/18/2025
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