Dickinson, Daniel Martin

Dickinson, Daniel Martin is an individual health care provider with primary practice located at 1550 Nw Eastman Pkwy Ste 100 , Gresham OR 97030-3830. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Dickinson, Daniel Martin can be contacted via phone (503) 571-0778.

Contact Information

Primary practice address
1550 Nw Eastman Pkwy Ste 100 Gresham OR 97030-3830
Phone: (503) 571-0778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X OR 96-10-107 Oregon

Profile Details

NPI number 1326153495
LBN Legal business name Dickinson, Daniel Martin
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 11th, 2007 - about 19 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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