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Individual

DR. DIANE MELINDA HEDIGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3003 WILLAMETTE ST, SUITE B, EUGENE, OR 97405-3241
(541) 510-8960
(541) 741-4941
Mailing address
PO BOX 5243, EUGENE, OR 97405-0243
(541) 510-8960
(541) 741-4941

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1768
OR
103TC0700X
Clinical Psychologist
3095
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
240183
OR
01
885163000
REGENCE BLUECROSS BLUESHI
OR
01
L206701
PACIFICSOURCE
OR
Enumeration date
10/13/2006
Last updated
07/09/2007
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