Individual
DR. LISA ANNE DICKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
1944 NE 45TH AVE., PORTLAND, OR 97213
(971) 319-0045
(503) 296-5712
Mailing address
1944 NE 45TH AVE., PORTLAND, OR 97213
(971) 319-0045
(503) 296-5712
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1291
OR
Other
Enumeration date
02/09/2006
Last updated
04/19/2016
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