Organization
MARK G. DILLON, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GAVIN DILLON PH.D. (PSYCHOLOGIST)
(503) 281-6162
Entity
Organization
Contact information
Practice address
2720 NE 33RD AVE, PORTLAND, OR 97212-3648
(503) 281-6162
Mailing address
2720 NE 33RD AVE, PORTLAND, OR 97212-3648
(503) 281-6162
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1722
OR
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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