Individual
DR. TIMOTHY L DICKENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
133 MAY STREET, HEPPNER, OR 97836-1002
(541) 980-8201
Mailing address
133 MAY STREET, P.O. BOX 1002, HEPPNER, OR 97836-1002
(541) 980-8201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3785
OR
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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