Individual
MR. JAMES WILEY DICKERSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 HILYARD ST, SUITE S-460, EUGENE, OR 97401-8122
(541) 685-1794
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1020407
MA
2084P0800X
Psychiatry Physician
MD150778
OR
Other
Enumeration date
09/21/2005
Last updated
01/31/2025
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