Individual
RUTH BICKETT-HICKOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, SEATTLE, WA 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A176440
CA
207L00000X
Anesthesiology Physician
Primary
MD214538
OR
390200000X
Student in an Organized Health Care Education/Training Program
4301115002
MI
Other
Enumeration date
06/17/2018
Last updated
08/22/2023
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