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Search › Idaho › 207P00000X

Jared Hicken, DO

NPI 1790429603 · on the registry since 2022

Practice

Address
1224 8th St
Rupert, ID 83350
Phone
(208) 436-0481
Fax
(208) 436-6038
Organisation at this address
Minidoka Memorial Hospital
Minidoka Memorial Hospital
Minidoka Memorial Hospital
Minidoka Memorial Hospital
Southern Idaho Therapy Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
207P00000X
207P00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-10

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 Idaho