Richard Eugene Dixon L.M.T.

NPI 1699839712 - Massage Therapist - 225700000X

NPI Details
NPI 1699839712
Gender Male
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7704 SE 13TH AVE
PORTLAND OR, 97202-6348, US
Phone (503) 887-8908
Fax
Business Location
1321 SE LINN ST
PORTLAND OR, 97202-7146, US
Phone (503) 234-0571
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 13119
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According to our database, Richard Eugene Dixon L.M.T. NPI is 1699839712, taxonomy code is 225700000X and license number is 13119, license state is located at Oregon. Richard Eugene Dixon L.M.T. physically located at 7704 Se 13th Ave, Portland OR, 97202-6348. NPI Number Richard Eugene Dixon L.M.T. has the Individual type.

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1699839712 NPI number is provided on an as is basis without warranty of any kind. 1699839712 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Eugene Dixon L.M.T. are for informational purposes only.