DR. JESS W. HICKERSON M.D.
NPI 1629010996
Obstetrics & Gynecology - Gynecology in Corvallis, OR

Q: What is Jess Hickerson's NPI number?

The NPI number for Jess Hickerson is 1629010996. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Jess Hickerson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Jess Hickerson was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2006

400 NW WALNUT BLVD, SUITE 300, CORVALLIS, OR 97330(541) 768-4680(541) 768-4681 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jess W. Hickerson M.d. NPPES

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

DR. JESS W. HICKERSON M.D. (NPI 1629010996) is an individual gynecology provider in Corvallis, Oregon, licensed in Oregon (MD13896) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629010996

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameDR. JESS W. HICKERSONCredential: M.D.

Location Address400 NW WALNUT BLVD, SUITE 300Corvallis, OR 97330-3874

Mailing Address400 Nw Walnut Blvd, Suite 300Corvallis, OR 97330-3874 · (541) 768-4680 · Fax (541) 768-4681

Phone(541) 768-4680

Fax(541) 768-4681

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateMarch 19, 2013

✔ NPI 1629010996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in OR · MD13896

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

400 NW WALNUT BLVD, Corvallis, OR 97330

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Other Identifiers 1

Medicare UPINC91612OR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANGER PROSTHETICS & ORTHOTICS WEST INC

Prosthetic/Orthotic Supplier

400 NW WALNUT BLVD, SUITE 100
CORVALLIS, OR 97330

Benton County (541) 757-8543

GOOD SAMARITAN HOSPITAL CORVALLIS

Obstetrics & Gynecology

400 NW WALNUT BLVD, SUITE 300
CORVALLIS, OR 97330

Benton County (541) 768-4680

WILLAMETTE ORTHOTICS & PROSTHETICS LLC

Prosthetic/Orthotic Supplier

400 NW WALNUT BLVD, SUITE 100
CORVALLIS, OR 97330

Benton County (541) 738-2462

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jess Hickerson's NPI number?

The NPI number for Jess Hickerson is 1629010996. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Jess Hickerson located?

Jess Hickerson practices at 400 NW Walnut Blvd Suite 300, Corvallis, OR 97330. The listed phone number is (541) 768-4680.

What is Jess Hickerson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Jess Hickerson was last updated on March 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.