National Provider Identifier Database

JESS W HICKERSON, MD – NPI #1629010996
Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.


Contact Information

JESS W HICKERSON, MD
400 NW WALNUT BLVD
SUITE 300
CORVALLIS, OR97330-3874
Phone: 541-768-4680
Fax: 541-768-4681
Website:
Specialty Taxonomy Code
* Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for JESS W HICKERSON

NPI Number 1629010996
Credentials MD
Entity Individual
Enumeration date 06/12/2006
Last updated 03/19/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • OR License #: MD13896
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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