Individual
SUE LILLIAN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-B.C.
Contact information
Practice address
715 S.W. 4TH ST., STE.C, MADRAS, OR 97741
(541) 475-4456
(541) 475-0132
Mailing address
715 S.W. 4TH ST., STE.C, MADRAS, OR 97741
(541) 475-4456
(541) 475-0132
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
086006332N7
OR
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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