IndividualActive
Jacob Dickinson, M.A.
NPI 1508015975 · Marriage & Family Therapist · Beaverton, OR
Provider details
- NPI number
- 1508015975
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- M.A.
- Sex
- Male
- Sole proprietor
- No
- License
- C2887 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9670 Sw Beaverton Hillsdale Hwy
Beaverton, OR 97005-3307
Phone: (971) 229-4009
Fax: (866) 324-6009
Approximate (ZIP-level) locationGet directions
Mailing address
10824 Se Oak St Ste 314
Milwaukie, OR 97222-6694
Registry dates
- Enumerated
- 2008-09-10
- Last updated
- 2026-05-27
- Certified
- 2026-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.