Individual
ROBERT TODD DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 234-9861
(503) 238-0873
Mailing address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 234-9861
(503) 238-0873
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00543
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141937
—
OR
Enumeration date
07/08/2005
Last updated
12/26/2007
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