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Deactivated NPI 1326153495 Deactivated / Inactive NPI Male Practitioner

Daniel Martin Dickinson , MA

Counselor - Addiction (Substance Use Disorder) • Gresham, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daniel Dickinson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 20, 2006
NPI Deactivation Date February 05, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Daniel Dickinson, MA was a registered Counselor - Addiction (Substance Use Disorder) practicing in Gresham, OR. Throughout an active medical career spanning 20 years, Daniel Dickinson provided care at the practice location at 1550 NW EASTMAN PKWY STE 100 until profile deactivation on 2026-02-05.

Practice Location & Contact Primary Location

Practice Address

1550 Nw Eastman Pkwy Ste 100

Gresham, OR 970303830

Telephone 5035710778

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Addiction (Substance Use Disorder) in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
83 Specialists

Practicing in Gresham, OR (4216 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Addiction (Substance Use Disorder) Primary Specialty

NUCC Taxonomy Code: 101YA0400X

State License OR OR 96-10-107

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Katarina Sperry , RN

Counselor - Mental Health

NPI 1871625798

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 05, 2026

Record deactivated on February 05, 2026

NPI Profile Active July 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 11, 2007

Registered at 1550 NW EASTMAN PKWY STE 100, GRESHAM, OR 970303830 (Tel: 5035710778)

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Updated Business Mailing Address July 11, 2007

Registered at 1550 NW EASTMAN PKWY STE 100, GRESHAM, OR 970303830 (Tel: 5035710778)

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Provider Name / Credentials Updated July 11, 2007

Recorded as DANIEL DICKINSON, M.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2007

Counselor (License #OR 96-10-107 in OR)

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Initial NPI Registration & Enumeration August 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326153495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2006
Last Update: July 11, 2007
Deactivation Date: February 05, 2026

Mailing Address

1550 Nw Eastman Pkwy Ste 100

Gresham, OR 970303830

Phone: 5035710778

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.