Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESS W. HICKERSON, M.D.
ActiveDR. JESS W. HICKERSON, M.D. is a Gynecology healthcare provider located in CORVALLIS, Oregon. NPI 1629010996 is currently active in the NPPES registry. Verify at CMS.
Gynecology · CORVALLIS, OR
Registration Details
- NPI Number
- 1629010996
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (20.195278758382 yrs)
- Last Updated
- Mar 19, 2013
- License
-
MD13896 (OR)
Practice Information
- Address
-
400 NW WALNUT BLVDSUITE 300CORVALLIS, OR, 973303874Browse OR providers · Browse ZIP 97330
- Phone
- 5417684680
- Fax
- 5417684681
- Primary Specialty
-
Gynecology
207VG0400X
Other Gynecology Providers in CORVALLIS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. GLENN S. HUERTA-ENOCHIAN | M.D. | 1477597250 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.