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Individual

CASSANDRA G DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 388-1636
(541) 388-1719
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 388-1636
(541) 388-1719

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01012
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R130671
MEDICARE ID
OR
Enumeration date
01/30/2006
Last updated
04/17/2020
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