Organization Active NPI

Julie a. Dicks, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Beaverton, OR
National Provider Identifier
1912298092
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1441 Issued in OR
Legal business name
JULIE A. DICKS, PH.D., P.C.
Practice address
4900 SW Griffith Dr Ste 235
Beaverton, OR 97005-4649
Phone
(503) 805-9456
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Dr. Julie Arnold Dicks, PH.D.NPI 1942471982
Title
President
Phone
(503) 805-9456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1441 OR Primary

Addresses

Primary practice location

4900 SW Griffith Dr Ste 235
Beaverton, OR 97005-4649

Mailing address

4900 SW Griffith Dr Ste 235
Beaverton, OR 97005-4649
Phone (503) 805-9456

National Provider Directory

National Provider Directory

Locations

4900 SW Griffith Dr
Ste 235
Beaverton, OR 97005
Phone (503) 805-9456

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1912298092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054649",
            "telephone_number": "503-805-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054649",
            "telephone_number": "503-805-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE A. DICKS, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "DICKS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-805-9456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "1441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.