Thomas Randal Hicks in Portland - General Practice

Thomas Randal Hicks - NPI 1922168335

Thomas Randal Hicks is a General Practice in Portland, Oregon. Thomas Randal Hicks practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Randal Hicks is 1922168335. The last update date is 2023-02-04.

Thomas Randal Hicks's current location address is 13305 Nw Cornell Rd Ste A, Portland, Oregon. You can contact this provider via phone number 5036445433 and fax number 5036445436. The mailing address for Thomas Randal Hicks is 13305 Nw Cornell Rd Ste A, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Randal Hicks
Address 13305 Nw Cornell Rd Ste A, Portland, Oregon
Phone Number 5036445433
Fax Number 5036445436
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1922168335
Provider Enumeration Date 2006-12-08
Last Updated Date 2023-02-04

Provider Mailing Address Detail

Address 13305 Nw Cornell Rd Ste A
City Portland
State Oregon (OR)
Post Code 972295987
Phone Number 5036445433
Fax Number 5036445436

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No D7362
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1922168335 OR --

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FAQs about Thomas Randal Hicks

What is the unique 10-digit identifier code issued to Thomas Randal Hicks by the Centers for Medicare & Medicaid Services?

The Thomas Randal Hicks has been assigned the NPI (National Provider Identifier) 1922168335 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Thomas Randal Hicks's facilities are geographically located?

The facilities of Thomas Randal Hicks are physically situated at the following location: 13305 Nw Cornell Rd Ste A, Portland, OR, 972295987.

What is Thomas Randal Hicks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Thomas Randal Hicks is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

When did the Thomas Randal Hicks receive its 1922168335?

The Thomas Randal Hicks was issued its 1922168335 on 2006-12-08, which is the date when the organization was assigned this unique identifier.

When was the information regarding Thomas Randal Hicks most recently updated?

The details pertaining to the Thomas Randal Hicks, including its address, specialty, and other relevant information, were last refreshed on 2023-02-04.

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