Individual
DR. ALFRED DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3890
Mailing address
5428 NW WAHKEENA LN, PORTLAND, OR 97229-7150
(503) 614-8949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72042
OR
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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