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Midian Tenebrae-Hickey
NPI 1093406969 · on the registry since 2023 · sole proprietor
Practice
- Address
- 6200 Se King Rd
Portland, OR 97222 - Phone
- (503) 546-6377
- Organisation at this address
- Northwest Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 76
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Sex
- Male
- Record last updated
- 2023-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon