Organization
HORMONECLINIC NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LEE HICKS ND (OWNER)
(971) 408-5162
Entity
Organization
Contact information
Practice address
15800 BOONES FERRY RD STE C205, LAKE OSWEGO, OR 97035-3490
(971) 408-5162
Mailing address
15800 BOONES FERRY RD STE C205, LAKE OSWEGO, OR 97035-3490
(971) 408-5162
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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