Individual provider · Type 1 NPI

Jesse Dictor

Mental Health Counselor · Milwaukie, OR

NPI number 1699367813 Active

Practice location

13850 SE Autumn Ridge Ter
Milwaukie, OR 97267-2150

Fax (503) 974-9586

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XPROFESSIONALLICENSE

Mental Health Counselor: Definition to come...

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About NPI 1699367813

Jesse Dictor's National Provider Identifier is 1699367813, issued on Feb 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Milwaukie, OR. The record was last updated on Jul 6, 2026.