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Mary Michelle Hickman
Student in an Organized Health Care Education/Training Program in Vancouver, Washington
NPI 1568182012

Mary Michelle Hickman is a Student in an Organized Health Care Education/Training Program based in Portland, WA. Mary Michelle Hickman practices in Vancouver, WA. The NPI Number for Mary Michelle Hickman is 1568182012 and holds a License No. (Washington).

The current practice location address for Mary Michelle Hickman is 5197 Nw Lower River Rd., Vancouver, WA and can be reached out via phone at 360-205-1222.

Location: 5197 Nw Lower River Rd., Vancouver, WA, 97221-3057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568182012
Provider Name
Mary Michelle Hickman
Credential
Provider Entity Type
Individual
Gender
Female
Address
5197 Nw Lower River Rd., Vancouver, WA, 97221-3057
Phone Number
360-205-1222
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5197 Nw Lower River Rd.
City
Vancouver
State
Washington
Zip
98660
Phone Number
360-205-1222
Fax Number
person
Provider Business Mailing Address Details
Address
5197 Nw Lower River Rd.
City
Vancouver
State
Washington
Zip
98660
Phone Number
360-205-1222
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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