# DIXONS RECOVERY RANCH OUTREACH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699612176
- **Authorized official:** MIKLO DIXON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (602) 328-7298

## Contact information

- **Practice address:** 2019 E 4TH AVE, PORT ANGELES, WA 98362-8708
- **Practice address phone:** (602) 328-7298
- **Mailing address:** 2019 E 4TH AVE, PORT ANGELES, WA 98362-8708
- **Mailing address phone:** (602) 328-7298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 05/01/2026