THOMAS H HICKERSON MD
NPI 1700840675
Family Medicine in Clackamas, OR

Active since April 17, 2006
14450 SE ROYER RD, CLACKAMAS, OR 97015(503) 658-5521(503) 658-5002 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas H Hickerson Md NPPES

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

THOMAS H HICKERSON MD (NPI 1700840675) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD10999) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1700840675
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS H HICKERSONCredential: MD
Location Address14450 SE ROYER RDClackamas, OR 97015-8730
Mailing AddressPo Box 92900Portland, OR 97292-0900 · (503) 658-5521 · Fax (503) 658-5002
Fax(503) 658-5002
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 9, 2010
NPI 1700840675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD10999
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

14450 SE ROYER RD, Clackamas, OR 97015

Other Identifiers 4

Medicare UPINC94360
Medicare ID-Type Unspecified102859OR
Medicaid240325OR
Medicaid8438574WA

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 Thomas Hickerson's NPI number?

The NPI number for Thomas Hickerson is 1700840675. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Thomas Hickerson located?

Thomas Hickerson practices at 14450 SE Royer Rd, Clackamas, OR 97015. The listed phone number is (503) 658-5521.

What is Thomas Hickerson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Thomas Hickerson was last updated on August 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.