Hicks, Matthew Raymond
Hicks, Matthew Raymond is an individual health care provider with primary practice located at 6536 Se Duke St Ste 7 , Portland OR 97206-6665. He recently has only one registered license in Other Service Providers / Naturopath, which is considered as his primary health care specialty. Hicks, Matthew Raymond can be contacted via phone (971) 403-0884.Contact Information
Primary practice address
6536 Se Duke St Ste 7
Portland OR 97206-6665
Phone: (971) 403-0884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | Oregon |
Profile Details
| NPI number | 1740764927 |
|---|---|
| LBN Legal business name | Hicks, Matthew Raymond |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2018 |
| Last updated | Jul 25th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740764927 | NPPES |
| Oregon | MEDICAID | 500752458 |
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