Individual
MR. ERIC HARRIS HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3301 SE 16TH AVE, PORTLAND, OR 97202-2858
(215) 620-6699
Mailing address
3301 SE 16TH AVE, PORTLAND, OR 97202-2858
(215) 620-6699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1711285
OR
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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