THOMAS H HICKERSON

CLACKAMAS, OR
NPI1700840675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD10999)
Enumeration Date2006-04-17
Last Update Date2010-08-09
Business Address
-- THOMAS H HICKERSON MD
14450 SE ROYER RD
CLACKAMAS, OR 97015-8730
Phone number: 503-658-5521
Mailing Address
-- THOMAS H HICKERSON MD
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: 503-658-5521
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