DR. DOUGLAS K. HICKS PH.D.
NPI 1245322601
Psychologist - Clinical in Gresham, OR

Q: What is Douglas Hicks's NPI number?

The NPI number for Douglas Hicks is 1245322601. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Q: What is Douglas Hicks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Hicks was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 29, 2006

1217 NE BURNSIDE RD, BUILDING B, SUITE 401, GRESHAM, OR 97030(503) 666-8832(503) 669-8641 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Douglas K. Hicks Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS K. HICKS PH.D. (NPI 1245322601) is an individual clinical provider in Gresham, Oregon, licensed in Oregon (624) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1245322601

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DOUGLAS K. HICKSCredential: PH.D.

Location Address1217 NE BURNSIDE RD, BUILDING B, SUITE 401Gresham, OR 97030-6722

Mailing AddressPo Box 82819Portland, OR 97282-0819 · (503) 233-5405 · Fax (503) 233-2696

Phone(503) 666-8832

Fax(503) 669-8641

Sole ProprietorNo

Enumeration DateSeptember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1245322601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 624

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1217 NE BURNSIDE RD, Gresham, OR 97030

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