| Mr Richard Lee Dickson, MD | |
|
481 W E St, Forks, WA 98331 | |
| (360) 374-6642 | |
| (360) 374-5335 |
| Full Name | Mr Richard Lee Dickson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 481 W E St, Forks, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760455075 | NPI | - | NPPES |
| 1641208 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16829 (Washington) | Primary |
| Entity Name | Clallam County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891879680 PECOS PAC ID: 1557256468 Enrollment ID: O20040219000309 |
| Entity Name | Clallam County Public Hospital District No 1 |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1891879680 PECOS PAC ID: 1557256468 Enrollment ID: O20051219000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Lee Dickson, MD Po Box 1918, 481 W E St, Forks, WA 98331 Ph: (360) 374-6642 | Mr Richard Lee Dickson, MD 481 W E St, Forks, WA 98331 Ph: (360) 374-6642 |
Wilbert Daniel James, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 | |
Dr. Stephen H Kriebel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 |