Individual
JINKY A HICKCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, EPDH, DT, BSDH
Contact information
Practice address
4925 SW GRIFFITH DR, BEAVERTON, OR 97005-2923
(855) 433-6825
Mailing address
4925 SW GRIFFITH DR, BEAVERTON, OR 97005-2923
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6784
OR
125J00000X
Dental Therapist
DT0014
OR
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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