Individual
CEDRIENNA J DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-4525
(541) 296-1537
Mailing address
1060 WEBBER ST, THE DALLES, OR 97058-3749
(541) 296-4525
(541) 296-1537
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699745794
—
OR
Enumeration date
08/25/2016
Last updated
11/15/2023
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