Individual
DR. MARK GAVIN DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2720 NE 33RD AVE, PORTLAND, OR 97212-3648
(503) 281-6162
(503) 284-1750
Mailing address
2720 NE 33RD AVENUE, PORTLAND, OR 97212
(503) 281-6162
(503) 284-1750
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1722
OR
Other
Enumeration date
02/20/2007
Last updated
09/08/2011
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