SARA DICKERSON, FNP-C, Primary Care GOLD BEACH, OR

Contact Information

SARA DICKERSON, FNP-C

29984 ELLENSBURG AVE
GOLD BEACH, OR 97444

Phone: 541-425-5657
Fax: 541-425-5653
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Wound Care	163WW0000X

Indicates primary specialty

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NPI Profile & details for SARA DICKERSON · (Female)

NPI Number	`1659616571`
Status	Active
Credentials	FNP-C (Family Nurse Practitioner, Certified)
Entity	Individual
Enumeration date	12/04/2012
Last updated	10/27/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	OR License # 201041867RN OR License # F06192407 Other F06192407 AMERICAN ACADEMY OF NURSE PRACTIONERS
Hospital affiliation(s)	BAY AREA HOSPITAL - (Acute Care) 1775 THOMPSON ROAD COOS BAY, OR 97420 CURRY GENERAL HOSPITAL - (Critical Access) 94220 FOURTH STREET GOLD BEACH, OR 97444 SOUTHERN COOS HOSPITAL & HEALTH CENTER - (Critical Access) 900 11TH STREET SE BANDON, OR 97411 SUTTER COAST HOSPITAL - (Acute Care) 800 E WASHINGTON BLVD CRESCENT CITY, CA 95531

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SARA DICKERSON, FNP-C – NPI #1659616571Primary Care

Contact Information

Specialty

Primary Care

Wound Care

NPI Profile & details for SARA DICKERSON · (Female)

Reviews for SARA DICKERSON

SARA DICKERSON, FNP-C – NPI #1659616571
Primary Care