Dickson, Michele Neth
Dickson, Michele Neth is an individual health care provider with primary practice located at 12123 Sw 69Th Ave , Tigard OR 97223-8514. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dickson, Michele Neth can be contacted via phone (971) 708-7600.Contact Information
Primary practice address
12123 Sw 69Th Ave
Tigard OR 97223-8514
Phone: (971) 708-7600
Fax: (971) 371-5230
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | RN00105798 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | AP30003195 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | MD0118364 | Oregon |
Profile Details
NPI number | 1619957990 |
---|---|
LBN Legal business name | Dickson, Michele Neth |
Credentials | ARNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Jul 17th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619957990 | NPPES |
Washington | Other | 500018475 | MEDICARE RR |
Washington | MEDICAID | 9609454 | MEDICARE RR |
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