Dimmler, Lawanda Lynn

Dimmler, Lawanda Lynn is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 610 , Portland OR 97213-2985. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Dimmler, Lawanda Lynn can be contacted via phone (503) 467-4761.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 610 Portland OR 97213-2985
Phone: (503) 467-4761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01198 Oregon

Profile Details

NPI number 1528031812
LBN Legal business name Dimmler, Lawanda Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Mar 9th, 2021 - about 5 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 1528031812 NPPES
Washington MEDICAID 1528031812
Washington MEDICAID 500606835

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