CHERYL B. HICKETHIER, PC (NPI# 1447428925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447428925 |
| Entity Type | Organization |
| Organization Name | CHERYL B. HICKETHIER, PC |
| Practice Address |
14831 Se 82nd Dr Clackamas OR 97015-7624 |
| Practice Telephone | 5036565657 |
| Practice Fax Number | 5036565658 |
| Mailing Telephone | 5036565657 |
| Mailing Fax Number | 5036565658 |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2013-09-03 |
| Authorized Official Name | DR. CHERYL HICKETHIER (OWNER) |
| Authorized Official Telephone | 5036565657 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD15365 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
14831 SE 82ND DR |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-7624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242790 | Rose City Medical Clinic LLC | Family Medicine | 11397 Se Cascade View Ct, Clackamas, OR 97086-9753 | 2020-10-16 |
| 1801973664 | Karen Ann Kuryla | Family Medicine | 9775 Se Sunnyside Rd Ste 200, Clackamas, OR 97015-5721 | 2006-11-01 |
| 1851404230 | David Bruce Mitchell | Family Medicine | 13636 Se Taralon Dr, Clackamas, OR 97015 | 2006-08-17 |
| 1700840675 | Thomas H Hickerson | Family Medicine | 14450 Se Royer Rd, Clackamas, OR 97015-8730 | 2006-04-17 |
| 1194789453 | Larry L Moffett | Family Medicine | 11211 Se Sunnyside Rd, Clackamas, OR 97015-7787 | 2006-04-13 |
| 1356324842 | Barry N. Davis | Family Medicine | 12360 Se Sunnyside Rd, Clackamas, OR 97015-9320 | 2005-11-29 |
| 1578559951 | Raymond S Lee | Family Medicine | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | 2005-09-21 |
| 1841647559 | Ewen J Harrison | Family Medicine | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | 2016-05-23 |
| 1750777066 | Kevin Do | Family Medicine | 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5705 | 2015-04-13 |
| 1174956049 | Benjamin Daniel Houser | Family Medicine | 9290 Se Sunnybrook Blvd Ste 120, Clackamas, OR 97015-6802 | 2013-08-15 |
| Find all providers in CLACKAMAS | ||||
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| 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.