Dietrich, Marlene
Dietrich, Marlene is an individual health care provider with primary practice located at 505 Ne 87Th Ave Ste. 460, Vancouver WA 98664-1989. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Dietrich, Marlene can be contacted via phone (360) 514-7771.Contact Information
Primary practice address
505 Ne 87Th Ave Ste. 460
Vancouver WA 98664-1989
Phone: (360) 514-7771
Fax: (360) 514-7769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD00035866 | Washington |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | MD00035866 | Washington |
Profile Details
| NPI number | 1124088406 |
|---|---|
| LBN Legal business name | Dietrich, Marlene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 9th, 2013 - about 11 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 | 1124088406 | NPPES |
| Washington | MEDICAID | 8222481 |
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