Bocking, Diane Joyce

Bocking, Diane Joyce is an sole proprietor health care provider with primary practice located at 1475 Mount Hood Ave , Woodburn OR 97071-9066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bocking, Diane Joyce can be contacted via phone (971) 983-5260.

Contact Information

Primary practice address
1475 Mount Hood Ave Woodburn OR 97071-9066
Fax: (971) 983-5326
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2830 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X C2830 Oregon

Profile Details

NPI number 1851595540
LBN Legal business name Bocking, Diane Joyce
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2007
Last updated Dec 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851595540 NPPES
Oregon MEDICAID 500758369

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