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

Tiawana E Dickerson

Individual provider Peer Specialist · NPI 1003585308

Tiawana E Dickerson is a Peer Specialist in Omak, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1007 Koala Dr
Omak, WA 98841-9247
Phone: (509) 826-6191
Fax: (509) 826-3029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1003585308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address1007 Koala Dr, Omak, WA 98841-9247

Other providers in Omak