RICHARD L. DICKSON


Address: 481 West E St, Forks, WA 98331
Phone: 3603746642

RICHARD L. DICKSON (NPI# 1720276207) 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) 1720276207
Entity Type Organization
Organization Name RICHARD L. DICKSON
Other Organization Name SOL DUC CLINIC
Practice Address 481 West E St
Forks
WA 98331
Mailing Address Po Box 1918
Forks
WA 98331
Practice Telephone 3603746642
Practice Fax Number 3603745335
Mailing Telephone 3603746642
Mailing Fax Number 3603745335
Enumeration Date 2007-10-09
Last Update Date 2008-02-13
Authorized Official Name MR. RICHARD L DICKSON (OWNER PHYSICIAN)
Authorized Official Telephone 3603746642
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
WA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WA DEPT OF L I 59570 01
WA 7079999 05

Other Provider/Organization Names

Other Name Type Code
Sol Duc Clinic Doing Business As Name - Organization

Office Location

Street Address 481 WEST E ST
City FORKS
State WA
Zip Code 98331

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518509520 Sasha Rose Jensen Nurse Practitioner 460 West G Street, Forks, WA 98331 2019-10-10
1497298046 Cathy A. Clark L.m.p. Massage Therapist 186-375 Hwy. 101, Forks, WA 98331 2016-11-30
1841447752 Concerned Citizens Early Intervention Provider Agency 945 S Forks Ave, Forks, WA 98331 2008-08-21
1508078627 John M Shima Md Ps Internal Medicine 460 West E St, Forks, WA 98331 2007-05-03
1578612875 Anea Beck Ownes Massage Therapist 230 Willow Ave, Forks, WA 98331 2007-01-09
1295820173 Howard Edward Berris Dentist 37325 W 12 Mile Rd, Suite B, Farmington Hills, MI 98331 2006-10-04
1760455075 Richard Lee Dickson Family Medicine 481 W E St, Forks, WA 98331 2006-02-08
1700382843 Vernon Rondeau Registered Nurse 560 Quileute Heights, La Push, WA 98331 2018-04-05
1962769760 Anand Selvam Emergency Medicine 530 Bogachiel Way, Forks, WA 98331 2012-04-18
1649353178 Susan Keilman Midwife 590 Bogachiel Way, Forks, WA 98331 2006-10-20
Find all providers in zip 98331

Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285683052 Clallam County Public Hospital District No1 Clinic/Center 390 Founders Way, Forks, WA 98331-9062 2006-05-09
1255616579 Harrison Medical Center Clinic/Center 461 G St, Forks, WA 98331-9025 2011-10-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811555931 Okanogan County Public Hospital Dist No 4 Clinic/Center 118 N Whitcomb Ave, Tonasket, WA 98855-8803 2019-06-04
1790204154 Sunnyside Community Hospital Association Clinic/Center 715 N Park Ctr, Selah, WA 98942-1174 2017-09-15
1699215384 Sunnyside Community Hospital Association Clinic/Center 505 W 4th Ave, Toppenish, WA 98948-1615 2017-03-01
1609112739 Grant County Public Hospital District. No. 1 Clinic/Center 8420 Aspi Blvd, Moses Lake, WA 98837-1820 2012-12-18
1801188073 Jefferson County Public Hospital District No 2 Clinic/Center 89 Breaker Ln, Port Ludlow, WA 98365-9766 2011-05-06
1255651907 Family Care Network Pllc Clinic/Center 2511 M Ave Ste A, Anacortes, WA 98221-3897 2010-06-04
1871822676 Public Hospital District 3 of Pacific County Clinic/Center 167 1st Avenue North, Ilwaco, WA 98624-0319 2009-12-08
1316138720 L. Keith Hanson Pllc Clinic/Center 520 W. Indian Avenue, Brewster, WA 98812 2007-08-09
1407055742 San Juan Healthcare PC Clinic/Center 689 Airport Center Dr Suite B, Friday Harbor, WA 98250 2007-07-17
1780897074 Jefferson County Public Hospital District No 2 Clinic/Center 294843 State Highway 101, Quilcene, WA 98376 2007-05-07
Find all providers with the same taxonomy

Competitor

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City FORKS
Zip Code 98331

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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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