Individual
ALANNA R DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1698 E. MCANDREWS RD, SUITE 400, MEDFORD, OR 97504-5590
(541) 732-6000
(541) 732-6005
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA157157
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA 9104466
MEDICAL LICENSE
FL
01
—
PA157157
OREGON LICENSE
OR
Enumeration date
01/16/2008
Last updated
04/25/2012
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