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Individual

MR. JACOB DICKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(971) 229-4009
(866) 324-6009
Mailing address
10824 SE OAK ST STE 314, MILWAUKIE, OR 97222-6694
(971) 229-4009
(866) 324-6009

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0845
OR
106H00000X
Marriage & Family Therapist

Other

Enumeration date
09/10/2008
Last updated
07/18/2025
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