Individual
HEATHER LAVELLE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 SW SHIRLEY ANN DR, MCMINNVILLE, OR 97128-7665
(503) 472-4055
(503) 472-9999
Mailing address
1525 SW SHIRLEY ANN DR, MCMINNVILLE, OR 97128-7665
(503) 472-4055
(503) 472-9999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/16/2008
Last updated
11/16/2008
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