Active NPI
Bruce Dickson ND LLC
- Naturopath
- McMinnville, OR
National Provider Identifier
1205102811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- 469
- Legal business name
- BRUCE DICKSON ND LLC
- Practice address
- 119 NE 3Rd St
McMinnville, OR 97128-4901 - Phone
- (503) 434-6515
- Fax
- (503) 472-5723
- NPI assigned
- Mar 28, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce A Dickson, ND
- Title
- Ceo
- Phone
- (503) 434-6515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | 469 | OR | Primary |
Addresses
Primary practice location
119 NE 3Rd St
McMinnville, OR 97128-4901
Mailing address
119 NE 3Rd St
McMinnville, OR 97128-4901
Phone (503) 434-6515
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332892800000",
"number": "1205102811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 NE 3RD ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284901",
"telephone_number": "503-434-6515",
"fax_number": "503-472-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 NE 3RD ST",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971284901",
"telephone_number": "503-434-6515",
"fax_number": "503-472-5723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRUCE DICKSON ND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A",
"authorized_official_last_name": "DICKSON",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-434-6515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ND"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Naturopath",
"state": "OR",
"license": "469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.