Individual
ASTRID DIEPENBROEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH LIMITED ACCESS
Contact information
Practice address
1890 WAITE ST, SUITE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Mailing address
1890 WAITE ST, SUITE 1, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2672
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619915113
WATERFALL CLINIC - GROUP NPI
—
Enumeration date
06/27/2007
Last updated
12/02/2008
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