Individual
COURTNEY LYN DICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1880 LANCASTER DR NE, 101, 102, SALEM, OR 97305-1089
(503) 362-1002
Mailing address
141 SE ASH ST, DALLAS, OR 97338-2504
(503) 871-9548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18742
OR
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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