Individual
PATRICE KATHLEEN DIRKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
155 SW SHEVLIN HIXON DR, BEND, OR 97702-3174
(541) 382-0392
Mailing address
155 SW SHEVLIN HIXON DR, BEND, OR 97702-3174
(541) 382-0392
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2082
OR
Other
Enumeration date
01/15/2012
Last updated
01/15/2012
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