KELLIE JO DICKINSON
NPI 1861890634
Counselor - Addiction (Substance Use Disorder) in Ontario, OR

Active since December 10, 2014
702 SUNSET DR, ONTARIO, OR 97914(541) 889-9167(541) 889-7873 Get Directions Write a Review

NPPES record last updated: December 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Jo Dickinson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE JO DICKINSON (NPI 1861890634) is an individual addiction (substance use disorder) provider in Ontario, Oregon and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1861890634
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLIE JO DICKINSON
Location Address702 SUNSET DROntario, OR 97914-3121
Mailing Address702 Sunset DrOntario, OR 97914-3121 · (541) 889-9167 · Fax (541) 889-7873
Fax(541) 889-7873
Sole ProprietorYes
Enumeration DateDecember 10, 2014
NPI 1861890634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
702 SUNSET DR, Ontario, OR 97914

Other Names 1

Former Name (1)Kelly Jo Graham

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
702 SUNSET DR
ONTARIO, OR 97914
Counselor (Addiction (Substance Use Disorder))
702 SUNSET DR
ONTARIO, OR 97914
Counselor
702 SUNSET DR
ONTARIO, OR 97914
Social Worker (Clinical)
702 SUNSET DR
ONTARIO, OR 97914
Case Manager/Care Coordinator
702 SUNSET DR
ONTARIO, OR 97914
Counselor
702 SUNSET DR
ONTARIO, OR 97914
Substance Abuse Rehabilitation Facility
702 SUNSET DR
ONTARIO, OR 97914
Counselor (Professional)
702 SUNSET DR
ONTARIO, OR 97914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Dickinson's NPI number?

The NPI number for Kellie Dickinson is 1861890634. It was assigned to this individual provider in the NPPES registry on December 10, 2014. The provider is also known as Kelly Jo Graham.

Where is Kellie Dickinson located?

Kellie Dickinson practices at 702 Sunset Dr, Ontario, OR 97914. The listed phone number is (541) 889-9167.

What is Kellie Dickinson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kellie Dickinson was last updated on December 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.