Individual provider · Type 1 NPI
Alan Hickenbottom
Mental Health Counselor · Portland, OR
NPI number
1316810013
Active
Practice location
7320 SW Hunziker Rd
Portland, OR 97223-8283
Mailing address
1220 Columbia St
Hood River, OR 97031-1730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1316810013
Alan Hickenbottom's National Provider Identifier is 1316810013, issued on Sep 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 29, 2025.