Jordan Charles Hickman (NPI# 1801211123, PAC ID# 6002107083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801211123 |
| PAC ID by PECOS | 6002107083 |
| Professional Enrollment ID | I20171016002927 |
| Full Name | Jordan Charles Hickman |
| Organization Legal Name | IDEAL TELEMEDICINE SERVICES LLC |
| Address |
9735 Sw Shady Ln Suite 103 Tigard OR 97223-5481 |
| Phone Number | 8775221275 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860726221 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 328 S Stillaguamish Ave, Arlington, WA 98223-1660 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 1318 Nw 9th St, Suite B, Corvallis, OR 97330-4565 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| 1918 Wall St, Everett, WA 98201-3665 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 8508 W Gage Blvd, Suite A101, Kennewick, WA 99336-8106 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 8508 W Gage Blvd, Suite A101, Kennewick, WA 99336-8106 | 5092221275 | IDEAL OPTION, PLLC |
| 8530 W Gage Blvd, Suite B, Kennewick, WA 99336-7162 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 1500 W Court St, Pasco, WA 99301-4057 | 50957093022123 | IDEAL TELEMEDICINE SERVICES LLC |
| 1500 W Court St, Pasco, WA 99301-4057 | 87752212753049 | IDEAL OPTION, PLLC |
| 2201 E Edison Rd, Sunnyside, WA 98944-9214 | 87752212753049 | IDEAL OPTION, PLLC |
| 9735 Sw Shady Ln, Suite 103, Tigard, OR 97223-5481 | 8775221275 | IDEAL TELEMEDICINE SERVICES LLC |
| 406 Se 131st Ave, Suite 104, Vancouver, WA 98683-4031 | 5092221275 | IDEAL OPTION, PLLC |
| Organization Legal Name | IDEAL TELEMEDICINE SERVICES LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Ann Vichorek | Nurse Practitioner | Ideal Telemedicine Services LLC | 1240 3rd Ave E, Suite 100, Shakopee, MN 55379-1679 |
| Nelsie Toussaint | Nurse Practitioner | Ideal Telemedicine Services LLC | 831 E 2nd St, Duluth, MN 55805-2103 |
| Rhonda Renee Woodside | Nurse Practitioner | Ideal Telemedicine Services LLC | 1601 2nd Ave N, Suite 300w, Great Falls, MT 59401-3243 |
| Jade Ammons | Nurse Practitioner | Ideal Telemedicine Services LLC | 834 S Montana St, Butte, MT 59701-2836 |
| Marianne Hanna Wahba | Physician Assistant | Ideal Telemedicine Services LLC | 22000 64th Ave W, Suite 2f, Mountlake Terrace, WA 98043-2500 |
| Rachael Ann Snyder | Nurse Practitioner | Ideal Telemedicine Services LLC | 316 2nd Ave W, Suite 1, Williston, ND 58801-5218 |
| Ashley Tebay | Nurse Practitioner | Ideal Telemedicine Services LLC | 3301 30th Ave S, Suite 102, Grand Forks, ND 58201-6009 |
| Todd Draper | Nurse Practitioner | Ideal Telemedicine Services LLC | 5431 E Mayflower Ln, Suite 4, Wasilla, AK 99654-7891 |
| Sheri Lynne Bagley | Nurse Practitioner | Ideal Telemedicine Services LLC | 121 N Last Chance Gulch, Suite H, Helena, MT 59601-4140 |
| Blake Kendle Bitton | Physician Assistant | Ideal Telemedicine Services LLC | 1918 Wall St, Everett, WA 98201-3665 |
| Street Address |
9735 SW SHADY LN SUITE 103 |
| City | TIGARD |
| State | OR |
| Zip | 97223-5481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rayna J Donnelly | Physician Assistant | Nw Allergy and Asthma Specialists,llc | 9735 Sw Shady Ln, Suite 102, Tigard, OR 97223-5481 |
| Thomas D Freedland | Chiropractic | 9735 Sw Shady Ln, Suite 303, Tigard, OR 97223-5481 | |
| Alexandra E Bavasi | Optometry | Child Eye Care Associates LLC | 9735 Sw Shady Ln, Suite 203, Tigard, OR 97223-5481 |
| Shawn Goodman | Ophthalmology | Child Eye Care Associates LLC | 9735 Sw Shady Ln, Suite 203, Tigard, OR 97223-5481 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quincy Michael Shorthill | Physical Therapy | 8915 Swnordic Dr, Tigard, OR 97223 | |
| Robert L Marrs | Clinical Social Worker | 7175 Sw Beveland St, Suite 200, Tigard, OR 97223 | |
| Halsy J Carter | Chiropractic | 12700 Sw N Dakota St, 180 Straight Up Chiropractic, Tigard, OR 97223-0802 | |
| Heidi U Ferguson | Family Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 |
| Evagelia Baros | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Yvonne Howell | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Raghuveer B Shenoy | Internal Medicine | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kathryn Marie Lund | Nurse Practitioner | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kevin A Brooks | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Kirsten A Holmes | Physician Assistant | Providence Health and Services Oregon | 12442 Sw Scholls Ferry, Rd Suite 106, Tigard, OR 97223-0803 |
| Find all physicians in zip 97223 | |||
| City | TIGARD |
| Zip Code | 97223 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TIGARD + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jordan Charles Hickman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.