JONATHAN KALANI HICKS

PORTLAND, OR
NPI1154650398
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2009-12-17
Last Update Date2009-12-17
Business Address
-- JONATHAN KALANI HICKS
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-255-4205
Mailing Address
-- JONATHAN KALANI HICKS
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-255-4205