Individual
DR. JESS W. HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 NW WALNUT BLVD, SUITE 300, CORVALLIS, OR 97330-3874
(541) 768-4680
(541) 768-4681
Mailing address
400 NW WALNUT BLVD, SUITE 300, CORVALLIS, OR 97330-3874
(541) 768-4680
(541) 768-4681
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD13896
OR
Other
Enumeration date
06/12/2006
Last updated
03/19/2013
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