Dix, Marlissa Suzanne
Dix, Marlissa Suzanne is an individual health care provider with primary practice located at 3175 Ne Aloclek Dr , Hillsboro OR 97124-7135. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dix, Marlissa Suzanne can be contacted via phone (503) 240-6210.Contact Information
Primary practice address
3175 Ne Aloclek Dr
Hillsboro OR 97124-7135
Phone: (503) 240-6210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C2340 | Oregon |
Profile Details
| NPI number | 1063602886 |
|---|---|
| LBN Legal business name | Dix, Marlissa Suzanne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2007 |
| Last updated | Dec 21st, 2021 - about 4 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 | 1063602886 | NPPES |
| Oregon | MEDICAID | 123190 |
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