MARKUS DICKERSON

Adult Companion

Active Individual
NPI: 1215471040

Practice Address

10300 SW EASTRIDGE ST
Portland, OR 97225

Phone: (503) 944-5000

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X No -
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1215471040 is the National Provider Identifier for MARKUS DICKERSON, a Adult Companion provider located in Portland, OR. This NPI was enumerated on December 13, 2016.
MARKUS DICKERSON practices at 10300 SW EASTRIDGE ST, Portland, OR 97225.

Quick Facts

NPI
1215471040
Type
Individual
Enumerated
Dec 13, 2016
Last Updated
Dec 13, 2016

Nearby Providers