Search › Washington › 1835P0018X
Jacob Hicks
NPI 1851828495 · on the registry since 2017
Practice
- Address
- 7700 Ne Highway 99 Ste B
Vancouver, WA 98665 - Phone
- (360) 699-8133
- Organisation at this address
- Fred Meyer Stores Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 2930 Ocean Beach Hwy, Longview, WA
Registry record
- Primary taxonomy
- 1835P0018X
1835P0018X
- Also registered as
- 183500000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-24
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 Washington