SUE LILLIAN DIXON


Address: 715 S.w. 4th St., Ste.c, Madras, OR 97741
Phone: 5414754456

SUE LILLIAN DIXON (NPI# 1184055931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184055931
Entity Type Individual
Full Name SUE LILLIAN DIXON
Credential WHNP-B.C.
Practice Address 715 S.w. 4th St.
Ste.c
Madras
OR 97741
Practice Telephone 5414754456
Practice Fax Number 5414750132
Mailing Telephone 5414754456
Mailing Fax Number 5414750132
Enumeration Date 2013-12-04
Last Update Date 2013-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
086006332N7 OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 715 S.W. 4TH ST.
STE.C
City MADRAS
State OR
Zip Code 97741

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750868196 Orie Made Counselor 185 Nw D St, Suite D&e, Madras, OR 97741 2018-07-27
1831514603 Robbin Webber Foster Social Worker 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 2014-03-03
1255769667 Aaron Michael Lee Physician Assistant 76 N.e. 12th St., Madras, OR 97741 2013-10-22
1114276045 April A Henselman Campanella Dental Hygienist 376 Ne Oak Street, Madras, OR 97741 2012-09-06
1487809091 Bestcare Treatment Services Substance Abuse Rehabilitation Facility 125 Sw C Street, Madras, OR 97741 2008-11-24
1144417437 Assisted Living Concepts Inc Assisted Living Facility 470 Ne Oak Street, Madras, OR 97741 2007-10-01
1518074327 Janice K Monroe Nurse Practitioner 910 Sw Hwy 97, Suite 101, Madras, OR 97741 2006-08-25
1215966759 Mark M Mullins Chiropractor 28 Ne 12th St, Madras, OR 97741 2006-06-30
1356389894 St. Charles Health System, Inc. Emergency Medicine 470 Ne A Street, Madras, OR 97741 2006-06-04
1346726460 Melinda Garcia Counselor 850 Sw 4th St, Madras, OR 97741 2018-07-11
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760043673 Tracy Lee Stevens Nurse Practitioner 2222 Ne 130th Ave, Portland, OR 97230-1705 2019-06-23
1093292971 Tracie Lynn Wright Nurse Practitioner 572 Barton Rd, Eagle Point, OR 97524-4405 2018-07-24
1780048124 Degrazia Wellness, LLC Nurse Practitioner 3210 Hillcrest Park Dr, Suite 100, Medford, OR 97504-7693 2016-04-12
1740650134 Sara Brelsford Nurse Practitioner 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 2015-09-29
1013307685 Christa Elane Degrazia Nurse Practitioner 146 Clear Creek Dr, Suite 350, Ashland, OR 97520-1851 2015-02-03
1699186395 Jennifer Marie Kowalczyk Nurse Practitioner 715 Nw Dimmick St, Grants Pass, OR 97526-1536 2014-05-15
1558782318 Rebecca M Meek Nurse Practitioner 2430 S 6th St, Klamath Falls, OR 97601-4342 2013-12-21
1689004053 Kendra Parkin Nurse Practitioner 12220 Sw 1st St, Suite 200, Beaverton, OR 97005-2889 2013-11-20
1467742205 Jennifer Lynda Roberson Nurse Practitioner 12550 Sw 2nd St, Beaverton, OR 97005-0519 2011-04-13
1831420017 Tamara Jean Wilson Nurse Practitioner 890 Oak St Se Ste 5050, Salem, OR 97301-3905 2010-01-27
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Competitor

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City MADRAS
Zip Code 97741

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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