Individual
MRS. ROSELYNN D DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
1314 NE GRAND AVE, PORTLAND, OR 97232-1127
(503) 280-2877
Mailing address
747 SW 17TH WAY, TROUTDALE, OR 97060-1533
(503) 309-3556
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A0628
OR
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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