Individual
PATRICK WILLIAM DIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
982 E COLUMBIA AVE STE 201, COLVILLE, WA 99114-3316
(509) 685-5000
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60835596
WA
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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