Individual
ERICA N DICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(503) 830-1166
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
AP60911408
WA
363L00000X
Nurse Practitioner
202003092NP-PP
OR
363L00000X
Nurse Practitioner
Primary
AP60911408
WA
363LG0600X
Gerontology Nurse Practitioner
202003092NP-PP
OR
Other
Enumeration date
12/18/2018
Last updated
06/04/2024
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