Individual
ROXANA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35020 SE KINSEY ST STE A, SNOQUALMIE, WA 98065-8992
(425) 396-7682
(425) 396-7694
Mailing address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
(425) 689-1306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61339740
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2020
Last updated
07/12/2023
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