Individual
ROBERT DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1103 NE ELM ST, PRINEVILLE, OR 97754-1664
(541) 323-5330
(541) 504-1195
Mailing address
PO BOX 1710, REDMOND, OR 97756-0516
(541) 516-4087
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
20-QMHA-R-0597
OR
Other
Enumeration date
08/19/2020
Last updated
08/20/2020
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