Dixons Recovery Ranch Outreach

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

DIXONS RECOVERY RANCH OUTREACH

Practice address

2019 E 4TH Ave
Port Angeles, WA 98362-8708

Phone

(602) 328-7298

NPI assigned

May 1, 2026

Last updated

May 1, 2026By 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

Miklo DixonNPI 1053078238

Title

Executive Director

Phone

(602) 328-7298

Specialties & licenses 1

Addresses

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.

• Miklo Jashua Dixon, BHT,CNA

  • Case Manager/Care Coordinator
  • Port Angeles, WA
  • NPI 1053078238
  NPD Authorized official

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1699612176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E 4TH AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628708",
            "telephone_number": "602-328-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E 4TH AVE",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628708",
            "telephone_number": "602-328-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXONS RECOVERY RANCH OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MIKLO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-328-7298"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica A Dibari, D.O.
• Amy Lee Dibello
• Dirk a. Gouge, D.O.
• Ianir Divinsky, MD
• Miklo Jashua Dixon, BHT,CNA
• Jaymes Allison Doane, CDP
• Rebecca E Doherty, LDO
• Kisha D Donaldson
• Reynold Drew Donovan, D.D.S.
• Janelle Margaret Doolittle, ND

• Case Manager/Care Coordinator in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.