Individual
JAMES EDWARD DICEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14050 SW PACIFIC HWY, #101, TIGARD, OR 97223
(503) 684-3101
Mailing address
PO BOX 231058, TIGARD, OR 97281
(503) 684-3101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2757
OR
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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