| Cheryl B. Hickethier, Pc | |
|
14831 Se 82nd Dr Clackamas OR 97015-7624 | |
| (503) 656-5657 | |
| (503) 656-5658 |
| Full Name | Cheryl B. Hickethier, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 14831 Se 82nd Dr, Clackamas, Oregon |
| Authorized Official Name and Position | Cheryl Hickethier (OWNER) |
| Authorized Official Contact | 5036565657 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl B. Hickethier, Pc 14831 Se 82nd Dr Clackamas OR 97015-7624 Ph: (503) 656-5657 | Cheryl B. Hickethier, Pc 14831 Se 82nd Dr Clackamas OR 97015-7624 Ph: (503) 656-5657 |
| NPI Number | 1447428925 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 09/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447428925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD15365 (Oregon) | Primary |
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