Individual
NICHOLE MARIE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
565 UNION ST NE, SALEM, OR 97301-2477
(971) 718-9537
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(971) 718-9537
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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