Cheryl B. Hickethier, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD15365 Issued in OR

Legal business name

CHERYL B. HICKETHIER, PC

Practice address

14831 SE 82ND Dr
Clackamas, OR 97015-7624

Phone

(503) 656-5657

Fax

(503) 656-5658

NPI assigned

Feb 18, 2008

Last updated

Sep 3, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cheryl Hickethier, MD, MPH

Title

Owner

Phone

(503) 656-5657

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1447428925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14831 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157624",
            "telephone_number": "503-656-5657",
            "fax_number": "503-656-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14831 SE 82ND DR",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970157624",
            "telephone_number": "503-656-5657",
            "fax_number": "503-656-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL B. HICKETHIER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "HICKETHIER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-656-5657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD15365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emily Vanessa Cheslik, RD
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• Tawny Maria Childs, LCSW
• Alise Chin-Shreffler, OD

• Family Medicine Physician in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.