Individual
ROBERT DIDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1501 PEARL ST, EUGENE, OR 97401-4010
(541) 342-8437
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0995173
CO
Other
Enumeration date
07/22/2015
Last updated
11/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us