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

Nicole Dickerson

Individual provider Peer Specialist · NPI 1184407629

Nicole Dickerson is a Peer Specialist in Lincoln City, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

1345 NW 15th St
Lincoln City, OR 97367-3327
Phone: (541) 574-9570
Fax: (541) 574-8857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 22-CRM-1313 (OR)

Record details

NPI number1184407629
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing addressPo Box 1538, Newport, OR 97365-0115

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