Individual
ALLYSON HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
395 NW DENTON AVE, DALLAS, OR 97338-1188
(503) 800-8626
Mailing address
395 NW DENTON AVE, DALLAS, OR 97338-1188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201805336RN
OR
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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