Individual provider · Type 1 NPI
Jenelle Lynn Dickson, LE
Specialist · Springfield, OR
NPI number
1740866094
Active
Practice location
2942 Fenya St
Springfield, OR 97477-7945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | BAP-E-10254980 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1740866094
Jenelle Lynn Dickson, LE's National Provider Identifier is 1740866094, issued on Mar 18, 2021. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Springfield, OR. The record was last updated on Jul 12, 2025.