Dibbern, Donald Alwood
Dibbern, Donald Alwood is an sole proprietor health care provider with primary practice located at 511 Sw 10Th Ave Suite 1301, Portland OR 97205-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Dibbern, Donald Alwood can be contacted via phone (503) 228-0155.Contact Information
Primary practice address
511 Sw 10Th Ave Suite 1301
Portland OR 97205-2732
Phone: (503) 228-0155
Fax: (503) 226-8342
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MD22872 | Oregon |
Profile Details
NPI number | 1538227434 |
---|---|
LBN Legal business name | Dibbern, Donald Alwood |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 4th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538227434 | NPPES |
Oregon | MEDICAID | 287494 |
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