Individual
THOMAS H HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14450 SE ROYER RD, CLACKAMAS, OR 97015-8730
(503) 658-5521
(503) 658-5002
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 658-5521
(503) 658-5002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD10999
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240325
—
OR
05
—
8438574
—
WA
Enumeration date
04/17/2006
Last updated
08/09/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us