KENDALL RAYE HICKSON


Address: 687 Cheshire Ave, Eugene, OR 97402-5060
Phone: 5416844172

KENDALL RAYE HICKSON (NPI# 1306288246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306288246
Entity Type Individual
Full Name KENDALL RAYE HICKSON
Practice Address 687 Cheshire Ave
Eugene
OR 97402-5060
Practice Telephone 5416844172
Practice Fax Number 5416844156
Mailing Telephone 5417624556
Mailing Fax Number 5416844156
Enumeration Date 2013-07-19
Last Update Date 2019-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16-05-22 Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 500661497 05

Office Location

Street Address 687 CHESHIRE AVE
City EUGENE
State OR
Zip Code 97402-5060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376546291 Willamette Family, Inc Clinic/Center 687 Cheshire Ave, Eugene, OR 97402-5060 2005-05-24
1184233736 Olivia Marie Fulton Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2020-07-29
1376185793 Vanessa Ann Patterson Peer Specialist 687 Cheshire Ave, Eugene, OR 97402-5060 2019-10-17
1225679061 Hannah Leiken Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2019-10-02
1972152262 Kaycie Kitzmiller Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2019-09-09
1184273823 Mckayla Marie Knight Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2019-09-05
1164079018 Tia Kerrigan Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2019-08-23
1689228751 Kimberly Anne Brown Counselor 687 Cheshire Ave, Eugene, OR 97402 2019-07-27
1336700368 Amber Lynn Matthews Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2019-06-20
1528622974 Katherine Hagan Counselor 687 Cheshire Ave, Eugene, OR 97402-5060 2019-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538709704 Jordan Charles Smith Massage Therapist 775 Menroe St., Eugene, OR 97402 2020-01-15
1104462134 Cerridwen Laurel Martin Massage Therapist 775 Monroe St., Eugene, OR 97402 2019-11-25
1720556368 Valerie Jeanne Charles Massage Therapist 989 Throne Dr., Eugene, OR 97402 2018-11-12
1407324189 Laura Angulo Massage Therapist 1247 W 8th Ave Apt 10, Eugene, OR 97402 2018-11-11
1932687472 Karl Alan Porter Counselor 1195 City View St Ste B, Eugene, OR 97402 2018-08-06
1992283170 Fresenius Medical Care Dialysis Services - Oregon, LLC Clinic/Center 3747 W 11th Ave, Eugene, OR 97402 2018-07-31
1699251744 Isabella Arlo Jane Silver Counselor 970 W 7th Ave., Eugene, OR 97402 2018-07-12
1447740527 Shasta Tobi Cooke Behavioral Analyst 677 1/2 W 12th Ave, Eugene, OR 97402 2018-05-15
1497205306 Jenna Bracco Social Worker 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 2016-10-04
1871041392 Jeremy Powers Massage Therapist 882 Van Buren St, Eugene, OR 97402 2016-09-13
Find all providers in zip 97402

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427619659 Erika Casey Counselor 1572 Mckinley Ct, Eugene, OR 97402-3440 2019-06-27
1346760345 Elicea Manners Counselor 78a Centennial Loop, Eugene, OR 97401 2017-06-21
1306386438 Shelby Afton Marie Slay Counselor 1246 River Rd, Eugene, OR 97404-2633 2017-03-08
1629515408 Laura Willow Counselor 2162 Riverview St, Eugene, OR 97403-2238 2017-01-31
1699217471 Leslie Ann Bletscher Counselor 900 River Loop 1, Eugene, OR 97404-1494 2016-11-10
1467904045 Linda Vik Counselor 304 Dartmoor Dr, Eugene, OR 97401-5728 2016-10-28
1255883047 Forrest Beesley Counselor 3091 Portland St, Eugene, OR 97405-3394 2016-10-27
1992257844 Molly Kate Gelinas Counselor 77 Stults Ave, Eugene, OR 97404-3269 2016-10-26
1376903120 Patricia Hummel Counselor 616 East 16th Avenue, Eugene, OR 97401 2016-03-07
1497113765 Nathan Mart Counselor 4211 W 11th Ave, Eugene, OR 97402-5435 2016-02-02
Find all providers in EUGENE

Competitor

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City EUGENE
Zip Code 97402

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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