Individual
HALEY DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(863) 381-2277
Mailing address
8020 SW BROOKRIDGE ST APT O, PORTLAND, OR 97225-7307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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