Douglas K. Hicks is a Clinical in Gresham, Oregon. Douglas K. Hicks practices all healthcare services and medical treatments related to Clinical. The NPI Number for Douglas K. Hicks is 1245322601. The last update date is 2007-07-08.
Douglas K. Hicks's current location address is 1217 Ne Burnside Rd, Gresham, Oregon. You can contact this provider via phone number 5036668832 and fax number 5036698641. The mailing address for Douglas K. Hicks is 1217 Ne Burnside Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas K. Hicks |
|---|---|
| Address | 1217 Ne Burnside Rd, Gresham, Oregon |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1245322601 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1217 Ne Burnside Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970306722 |
| Phone Number | 5036668832 |
| Fax Number | 5036698641 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 624 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 164936 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Douglas K. Hicks by the Centers for Medicare & Medicaid Services?
The Douglas K. Hicks has been assigned the NPI (National Provider Identifier) 1245322601 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Douglas K. Hicks?
The Douglas K. Hicks is situated at 1217 Ne Burnside Rd, in the city of Gresham, state of OR, with the zip code 970306722.
What is Douglas K. Hicks's specialized field of practice, and what is the corresponding taxonomy classification code?
The Douglas K. Hicks's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Douglas K. Hicks receive the assignment of its 1245322601 from the Centers for Medicare & Medicaid Services?
The Douglas K. Hicks was issued its 1245322601 by the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the Douglas K. Hicks's information last updated?
The Douglas K. Hicks's information was last updated on 2007-07-08.