Hickson, Kellie

Hickson, Kellie is an sole proprietor health care provider with primary practice located at 1461 Oak St , Eugene OR 97401-4007. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Methadone, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Hickson, Kellie can be contacted via phone (541) 687-9741.

Contact Information

Primary practice address
1461 Oak St Eugene OR 97401-4007
Phone: (541) 687-9741
Fax: (541) 687-9279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Oregon

Profile Details

NPI number 1205371978
LBN Legal business name Hickson, Kellie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2017
Last updated Aug 31st, 2022 - about 3 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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