KEVIN SPENCER HICKS

VANCOUVER, WA
NPI1730380072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60088481)
Enumeration Date2007-05-31
Last Update Date2018-08-06
Business Address
Mr. KEVIN SPENCER HICKS
700 NE 87TH AVE
VANCOUVER, WA 98664
Phone number: 360-397-3119
Mailing Address
Mr. KEVIN SPENCER HICKS
700 NE 87TH AVE
VANCOUVER, WA 98664-1913
Phone number: 360-397-3119