| NPI | 1164282315 |
|---|---|
| Other Name | NATALIA HICKS |
| Entity Type | Organization |
| Authorized Contact | NATALIA I HICKS Owner 541-913-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-04-27 |