Epiphany Hicks

NPI #1457879272 in Portland, Oregon

Provider Information

NPI Number: 1457879272
Entity Type: Individual
Name: Epiphany Hicks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Aug 31, 2017
Last Updated: Aug 31, 2017

Practice Location

Address: 945 NW NAITO PKWY APT 535
City: Portland
State: Oregon
ZIP Code: 97209-4718
Phone: (678) 933-3944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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