Individual
LOIS G DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
9900 SE SUNNYSIDE RD, FLOOR 2, CLACKAMAS, OR 97015-9777
(503) 571-3126
Mailing address
2499 DONEGAL CT, WEST LINN, OR 97068-3907
(971) 645-1979
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
020956
OR
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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