Hansen-Dispenza, Heather L

Hansen-Dispenza, Heather L is an individual health care provider with primary practice located at 2965 Ne Conners Ave Ste 127 St. Charles Rheumatology, Bend OR 97701-7753. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Hansen-Dispenza, Heather L can be contacted via phone (541) 706-7735.

Contact Information

Primary practice address
2965 Ne Conners Ave Ste 127 St. Charles Rheumatology Bend OR 97701-7753
Phone: (541) 706-7735
Fax: (541) 706-4806
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD161426 Oregon

Profile Details

NPI number 1245283605
LBN Legal business name Hansen-Dispenza, Heather L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 16th, 2020 - 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 1245283605 NPPES
New Mexico MEDICAID 17672066

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