Individual provider Active NPI

Jennifer Lee Hicks, ND

  • Naturopath
  • Portland, OR
National Provider Identifier
1770519597
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1425R Issued in OR
Practice address
9755 SW Barnes Rd Ste 155
Portland, OR 97225-6679
Phone
(503) 291-1953
Fax
(503) 292-7296
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1425R OR Primary

Addresses

Primary practice location

9755 SW Barnes Rd Ste 155
Portland, OR 97225-6679

Mailing address

9755 SW Barnes Rd Ste 155
Portland, OR 97225-6679
Phone (032) 911-9535

Other practice location 1

15800 Boones Ferry Rd Ste C205
Lake Oswego, OR 97035-3490
Phone (971) 408-5162

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

State licenses

LicenseStateTypeSpecialty
1425RORMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Hormoneclinic NW LLC CurrentSince Nov 24, 2025 Accepting new patients
Bridge City Family Medical Clinic, PC PastSince Aug 1, 2012 Accepting new patients

Locations

15800 Boones Ferry Rd
Ste C205
Lake Oswego, OR 97035
Phone (971) 408-5162

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1770519597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9755 SW BARNES RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256679",
            "telephone_number": "032-911-9535",
            "fax_number": "503-292-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9755 SW BARNES RD STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256679",
            "telephone_number": "503-291-1953",
            "fax_number": "503-292-7296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15800 Boones Ferry Rd Ste C205",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970353490",
            "country_code": "US",
            "telephone_number": "971-408-5162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1425R",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 17, 2025; 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.