Individual
OLIVER A. DICKMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60051150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242135
L&I
WA
05
—
1811140221
—
WA
01
—
316351
L&I POST 7/21/13
WA
01
—
8949263
CV
WA
01
—
P01257232
RR MEDICARE
WA
Enumeration date
10/29/2008
Last updated
06/15/2022
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