Provider Demographics
NPI:1942471982
Name:DICKS, JULIE ARNOLD (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ARNOLD
Last Name:DICKS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:LYNNE
Other - Last Name:ARNOLD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 SW GRIFFITH DR
Mailing Address - Street 2:SUITE 235
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97225
Mailing Address - Country:US
Mailing Address - Phone:503-805-9456
Mailing Address - Fax:503-641-1601
Practice Address - Street 1:4900 SW GRIFFITH DR
Practice Address - Street 2:SUITE 235
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97225
Practice Address - Country:US
Practice Address - Phone:503-805-9456
Practice Address - Fax:503-641-1601
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1441103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical