Hicks, Matthew Robert
Hicks, Matthew Robert is an individual health care provider with primary practice located at 6200 Se Milwaukie Ave , Portland OR 97202-5417. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hicks, Matthew Robert can be contacted via phone (503) 235-7000.Contact Information
Primary practice address
6200 Se Milwaukie Ave
Portland OR 97202-5417
Phone: (503) 235-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D7302 | Oregon |
Profile Details
| NPI number | 1982601142 |
|---|---|
| LBN Legal business name | Hicks, Matthew Robert |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
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.
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