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

MS. Odessa Dickerson, PA

Individual provider Physician Assistant · NPI 1831522747

MS. Odessa Dickerson, PA is a Physician Assistant in Vancouver, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2811 NE 139th St
Vancouver, WA 98686-2724
Phone: (360) 882-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 Commercial St Se, Salem, OR 97301-3421 — (503) 485-4787

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61121709 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1831522747
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

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