Diede, Dorothy
Diede, Dorothy is an individual health care provider with primary practice located at 46314 Timine Way , Pendleton OR 97801-0160. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Diede, Dorothy can be contacted via phone (541) 966-9830.Contact Information
Primary practice address
46314 Timine Way
Pendleton OR 97801-0160
Phone: (541) 966-9830
Fax: (541) 278-7568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LW00006833 | Washington |
Profile Details
| NPI number | 1528035672 |
|---|---|
| LBN Legal business name | Diede, Dorothy |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Aug 2nd, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528035672 | NPPES |
| Washington | MEDICAID | 1080282 |
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