Individual
TRENTON LEE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 SCORPIO DR, LA GRANDE, OR 97850-3334
(541) 805-8327
Mailing address
2001 SCORPIO DR, LA GRANDE, OR 97850-3334
(541) 805-8327
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202005563RN
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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