Dixon, Cedrienna J

Dixon, Cedrienna J is an individual health care provider with primary practice located at 1060 Webber St , The Dalles OR 97058-3749. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Dixon, Cedrienna J can be contacted via phone (541) 296-4525.

Contact Information

Primary practice address
1060 Webber St The Dalles OR 97058-3749
Phone: (541) 296-4525
Fax: (541) 296-1537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1508312091
LBN Legal business name Dixon, Cedrienna J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2016
Last updated Nov 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508312091 NPPES
Oregon MEDICAID 1699745794

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