NPI 1093286007

Teresa Lorraine Smith-Dixon, LCSW

Practitioner Clinical Social Worker La Grande, OR

Practice location

Address: 2502 Cove Ave STE a, La Grande, OR 97850-0388
Phone: (541) 963-2273
Fax: (541) 963-1872
Mailing address: 2002 Jupiter Way, La Grande, OR 97850-3220

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0987 (OR)

Other Social Worker providers in Oregon →

Registry record

NPI: 1093286007
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Dec 2018
Record last updated: 17 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.