Dierickx, Steven Raymond

Dierickx, Steven Raymond is an individual health care provider with primary practice located at 2031 Hawthorne St Suite G, Forest Grove OR 97116-1700. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dierickx, Steven Raymond can be contacted via phone (503) 357-2171.

Contact Information

Primary practice address
2031 Hawthorne St Suite G Forest Grove OR 97116-1700
Phone: (503) 357-2171
Fax: (503) 357-2172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4924 Oregon

Profile Details

NPI number 1629032255
LBN Legal business name Dierickx, Steven Raymond
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1629032255 NPPES
Oregon Other 4924 LICENSE NUMBER

Popular Providers