SearchOregon101YM0800X

David Hickerson, BS, CADC II, QMHA

NPI 1841658986 · on the registry since 2016

Practice

Address
1856 Grand Prairie Rd Se
Albany, OR 97322
Phone
(541) 393-0777
Clinicians at this address
22

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-23

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