Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. James Wiley Dickerson III, MD

Individual provider Psychiatry Physician · NPI 1023004512

Mr. James Wiley Dickerson III, MD is a Psychiatry Physician in Eugene, Oregon. Licensed in Massachusetts and Oregon. Registered with an NPI since 2005.

Licensed in
MA, OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1200 Hilyard St Ste S-460
Eugene, OR 97401-8122
Phone: (541) 685-1794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 1020407 (MA)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD150778 (OR)

Record details

NPI number1023004512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 21, 2005
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

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