Individual
CORINNE M DICKEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12002 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8381
(503) 698-5733
Mailing address
7620 RIDGEWOOD DR, GLADSTONE, OR 97027-1440
(503) 803-3080
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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