| Richard L Dickson, M.d. | |
|
481 West E. St. Forks WA 98331-1918 | |
| (360) 374-6642 | |
| (360) 374-5335 |
| Full Name | Richard L Dickson, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 481 West E. St., Forks, Washington |
| Authorized Official Name and Position | Richard Lee Dickson (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3603746642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Dickson, M.d. Po Box 1918 Forks WA 98331-1918 Ph: (360) 374-6642 | Richard L Dickson, M.d. 481 West E. St. Forks WA 98331-1918 Ph: (360) 374-6642 |
| NPI Number | 1124210224 |
|---|---|
| Provider Enumeration Date | 08/13/2007 |
| Last Update Date | 09/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124210224 | NPI | - | NPPES |
| 59570 | Other | WA | DEPT OF L & I |
| 7075542 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 600372068 (Washington) | Primary |
Hoh Indian Tribe Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2263 Lower Hoh Rd, Forks, WA 98331 Phone: 360-374-6582 Fax: 360-374-5426 | |
Family Medical Center Of Forks, Inc, Ps Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 | |
Harrison Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6224 Fax: 360-374-6039 | |
Clallam County Public Hospital District No 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 461 G St, Forks, WA 98331 Phone: 360-374-6271 Fax: 360-374-9781 | |
Clallam County Public Hospital District No 1 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Founders Way, Forks, WA 98331 Phone: 360-374-6271 Fax: 360-374-9781 | |
Chinook Pharmacy Clinical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S Forks Ave Ste A, Forks, WA 98331 Phone: 360-374-2294 Fax: 360-374-5057 |