Mark G. Dillon, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1722 Issued in OR

Legal business name

MARK G. DILLON, PH.D.

Practice address

2720 NE 33Rd Ave
Portland, OR 97212-3648

Phone

(503) 281-6162

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark Gavin Dillon, PH.D.NPI 1295870038

Title

Psychologist

Phone

(503) 281-6162

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Gavin Dillon, PH.D.

  • Psychologist
  • Portland, OR
  • NPI 1295870038
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1285914390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123648",
            "telephone_number": "503-281-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 NE 33RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123648",
            "telephone_number": "503-281-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. DILLON, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "GAVIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-281-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Marion, LMT
• Carina Mariscal Diaz, MS
• Mark a Crislip
• Mark a Terry MD PC
• Mark a. Terry, M.D., P.C.
• Mark J Rushford DDS PC
• Mark J. Butterfield, D.C.
• Mark J. Morrow, MD
• Mark Steven Metzger MD PC
• Mark T Eilers DMD

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.