Mr. Midian Krash Tenebrae-Hickey
Mr. Midian Krash Tenebrae-Hickey is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
6200 SE King RdPortland, OR 97222-2891
Phone: (503) 546-6377
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1093406969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certification date | May 19, 2023 |
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