Dickson, Richard Lee

Dickson, Richard Lee is an individual health care provider with primary practice located at 481 W E St , Forks WA 98331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dickson, Richard Lee can be contacted via phone (360) 374-6642.

Contact Information

Primary practice address
481 W E St Forks WA 98331
Phone: (360) 374-6642
Fax: (360) 374-5335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16829 Washington

Profile Details

NPI number 1760455075
LBN Legal business name Dickson, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 19th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760455075 NPPES
Washington MEDICAID 1641208

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