Dixon, Robert Todd

Dixon, Robert Todd is an individual health care provider with primary practice located at 5050 Ne Hoyt St , Portland OR 97213-2991. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dixon, Robert Todd can be contacted via phone (503) 234-9861.

Contact Information

Primary practice address
5050 Ne Hoyt St Portland OR 97213-2991
Phone: (503) 234-9861
Fax: (503) 238-0873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00543 Oregon

Profile Details

NPI number 1982602421
LBN Legal business name Dixon, Robert Todd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 26th, 2007 - about 17 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 1982602421 NPPES
Oregon MEDICAID 141937

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