Active NPI
Matthew Raymond Hicks, ND
- Naturopath
- Portland, OR
National Provider Identifier
1740764927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- Practice address
- 6536 SE Duke St Ste 7
Portland, OR 97206-6665 - Phone
- (971) 403-0884
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | OR | Primary |
Addresses
Primary practice location
6536 SE Duke St Ste 7
Portland, OR 97206-6665
Mailing address
6536 SE Duke St Ste 7
Portland, OR 97206-6665
Phone (971) 403-0884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500752458 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synaptic Institute Inc. | Current | Accepting new patients | |
| Synaptic Integrative Care LLC | Naturopath | Current | Accepting new patients |
Locations
6536 SE Duke St
Ste 7
Portland, OR 97206
Phone (971) 253-4792
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Portland, OR
- NPI 1295432235
-
- Naturopath
- Portland, OR
- NPI 1952906778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1740764927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6536 SE DUKE ST STE 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066665",
"telephone_number": "971-403-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6536 SE DUKE ST STE 7",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972066665",
"telephone_number": "971-403-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "MATTHEW",
"middle_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2023-07-25",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "OR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500752458",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.