Provider Demographics
NPI:1770511628
Name:HIKES, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:HIKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5050 NE HOYT
Mailing Address - Street 2:SUITE 668
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2990
Mailing Address - Country:US
Mailing Address - Phone:503-239-7099
Mailing Address - Fax:503-239-9459
Practice Address - Street 1:5050 NE HOYT
Practice Address - Street 2:SUITE 668
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2990
Practice Address - Country:US
Practice Address - Phone:503-239-7099
Practice Address - Fax:503-239-9459
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR11185OR207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery