Organization
PORTLAND JOINT RECONSTRUCTION CLINIC, P.C.
Active
Organization
PORTLAND JOINT RECONSTRUCTION CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID C HIKES I M.D. (OWNER)
(503) 239-7099
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, SUITE 668, PORTLAND, OR 97213-2991
(503) 239-7099
(503) 239-9459
Mailing address
5050 NE HOYT STREET, SUITE 668, PORTLAND, OR 97213-2990
(503) 239-7099
(503) 239-9459
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD11185
OR
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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