Dedrick, David L

Dedrick, David L is an individual health care provider with primary practice located at 2042 Ne Williamson Ct St. Charles Sleep Center - Bend, Bend OR 97701-3760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Dedrick, David L can be contacted via phone (541) 706-6905.

Contact Information

Primary practice address
2042 Ne Williamson Ct St. Charles Sleep Center - Bend Bend OR 97701-3760
Phone: (541) 706-6905
Fax: (541) 371-4580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD19899 Oregon
Other Service Providers / Specialist 174400000X MD19899 Oregon

Profile Details

NPI number 1831177385
LBN Legal business name Dedrick, David L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Jan 17th, 2022 - about 3 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 1831177385 NPPES
Oregon MEDICAID 287267

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