DANIEL MARTIN DICKINSON

GRESHAM, OR
NPI1326153495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  OR 96-10-107)
Enumeration Date2006-08-20
Last Update Date2007-07-11
Business Address
-- DANIEL MARTIN DICKINSON M.A.
1550 NW EASTMAN PKWY STE 100
GRESHAM, OR 97030-3830
Phone number: 503-571-0778
Mailing Address
-- DANIEL MARTIN DICKINSON M.A.
1550 NW EASTMAN PKWY STE 100
GRESHAM, OR 97030-3830
Phone number: 503-571-0778
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