Nicole Dickerson
NPI #1184407629 in Lincoln City, Oregon
Provider Information
- NPI Number
- 1184407629
- Entity Type
- Individual
- Name
- Nicole Dickerson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Aug 17, 2023
- Last Updated
- Aug 17, 2023
Practice Location
- Address
- 1345 NW 15TH ST
- City
- Lincoln City
- State
- Oregon
- ZIP Code
- 97367-3327
- Phone
- (541) 574-9570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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