EPIPHANY HICKS (NPI# 1457879272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457879272 |
| Entity Type | Individual |
| Full Name | EPIPHANY HICKS |
| Practice Address |
945 Nw Naito Pkwy Apt 535 Portland OR 97209-4718 |
| Mailing Address |
1615 Ne Fremont St Portland OR 97212-2336 |
| Practice Telephone | 6789333944 |
| Mailing Telephone | 5035605089 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
945 NW NAITO PKWY APT 535 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699190751 | Michelle Ann Lu | Homemaker | 11124 Ne Halsey St # 572, Portland, OR 97220-2021 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748403 | Brenda Lee Reece | Homemaker | 422 Se 2nd St, Prineville, OR 97754-2204 | 2020-04-15 |
| 1255975256 | Anthony D Body | Homemaker | 13203 Sw Wellington Pl, Tigard, OR 97223-1776 | 2019-11-01 |
| 1679088454 | Eric Paul Wolke | Homemaker | 2225 Pacific Blvd Se Ste 207, Albany, OR 97321-7904 | 2017-12-03 |
| 1528500063 | Yoon-son Chang | Homemaker | 775 Nw Autumncreek Way Apt K104, Beaverton, OR 97006-8713 | 2016-11-15 |
| 1265803720 | Todd Barth | Homemaker | 1400 Ne 48th Ave Ste 107, Hillsboro, OR 97124-5017 | 2015-10-09 |
| 1477109130 | Maria Caddy | Homemaker | 615 E Main St, Molalla, OR 97038-9169 | 2019-08-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.