| Michael Hicken, MD, PC | |
|
5880 Ne Cornell Rd Hillsboro OR 97124-9075 | |
| (503) 615-0960 | |
| (503) 615-8572 |
| Full Name | Michael Hicken, MD, PC |
|---|---|
| Speciality | Family Medicine |
| Location | 5880 Ne Cornell Rd, Hillsboro, Oregon |
| Authorized Official Name and Position | Michael Powel Hicken (OWNER) |
| Authorized Official Contact | 5036150960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Hicken, MD, PC 5880 Ne Cornell Rd Hillsboro OR 97124-9075 Ph: (503) 615-0960 | Michael Hicken, MD, PC 5880 Ne Cornell Rd Hillsboro OR 97124-9075 Ph: (503) 615-0960 |
| NPI Number | 1508816703 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8820009947 |
|---|---|
| Medicare Enrollment ID | O20060605000062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508816703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Michael P Hicken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033160411 PECOS PAC ID: 3274544390 Enrollment ID: I20060605000080 |
| Provider Name | Jennifer Leigh Currie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750804233 PECOS PAC ID: 7315203239 Enrollment ID: I20171109001537 |
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