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Daniel Martin Dickinson, MA
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1326153495

Daniel Martin Dickinson is an Addiction (Substance Use Disorder) Counselor based in Gresham, OR and is specialized in Addiction (Substance Use Disorder). Daniel Martin Dickinson practices in Gresham, OR and has the professional credentials of MA. The NPI Number for Daniel Martin Dickinson is 1326153495 and holds a License No. OR 96-10-107 (Oregon).

The current practice location address for Daniel Martin Dickinson is 1550 Nw Eastman Pkwy Ste 100, Gresham, OR and can be reached out via phone at 503-571-0778.

Location: 1550 Nw Eastman Pkwy Ste 100, Gresham, OR, 97030-3830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326153495
Provider Name
Daniel Martin Dickinson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1550 Nw Eastman Pkwy Ste 100, Gresham, OR, 97030-3830
Phone Number
503-571-0778
Fax Number
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1550 Nw Eastman Pkwy Ste 100
City
Gresham
State
Oregon
Zip
97030-3830
Phone Number
503-571-0778
Fax Number
person
Provider Business Mailing Address Details
Address
1550 Nw Eastman Pkwy Ste 100
City
Gresham
State
Oregon
Zip
97030-3830
Phone Number
503-571-0778
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
OR 96-10-107 (Oregon)
Definition
Definition to come...
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