CEDRIENNA J DIXON NPI 1508312091

NPI Information

  • NPI: 1508312091
  • Provider Name: CEDRIENNA J DIXON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1060 WEBBER ST
    THE DALLES, OR
    ZIP 97058
  • Phone: (541) 296-4525

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NPI Details

Cedrienna J Dixon is a peer specialist in The Dalles, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Cedrienna J Dixon NPI is 1508312091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1060 WEBBER ST
THE DALLES, OR
ZIP 97058-749
Phone: (541) 296-4525
Fax: (541) 296-1537

The enumeration date for this NPI number is 8/25/2016 and was last updated on 11/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171M00000XCase Manager/Care CoordinatorNo
2175T00000XPeer SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11699745794MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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