Eric Harris Hickey

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1711285 Issued in OR

Practice address

3301 SE 16TH Ave
Portland, OR 97202-2858

Phone

(215) 620-6699

NPI assigned

Oct 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223424000000",
    "number": "1922259886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022858",
            "telephone_number": "215-620-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022858",
            "telephone_number": "215-620-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "ERIC",
        "middle_name": "HARRIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "1711285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Howard Hickam, M.D.
• Michael William Hickel, D.C.
• Alan Hickenbottom
• Sabrina R Hickerson
• Alexander Robert Hickey
• Jessica Marie Hickey
• Judy B Hickey, CADC I/QMHA-R
• Kaelyn Hickey
• M. Eileen Hickey
• Mary Margaret Hickey, LPC

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.