Dickerson, Markus

Dickerson, Markus is an individual health care provider with primary practice located at 10300 Sw Eastridge St , Portland OR 97225-5004. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Dickerson, Markus can be contacted via phone (503) 944-5000.

Contact Information

Primary practice address
10300 Sw Eastridge St Portland OR 97225-5004
Phone: (503) 944-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1215471040
LBN Legal business name Dickerson, Markus
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2016
Last updated Dec 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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