Diepenbroek, Astrid

Diepenbroek, Astrid is an individual health care provider with primary practice located at 1890 Waite St Suite 1, North Bend OR 97459-1229. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Diepenbroek, Astrid can be contacted via phone (541) 756-6232.

Contact Information

Primary practice address
1890 Waite St Suite 1 North Bend OR 97459-1229
Fax: (541) 756-6234
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H2672 Oregon

Profile Details

NPI number 1518164201
LBN Legal business name Diepenbroek, Astrid
Credentials RDH LIMITED ACCESS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Dec 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518164201 NPPES
Other 1619915113 WATERFALL CLINIC - GROUP NPI

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