Diederich, Amber

Diederich, Amber is an individual health care provider with primary practice located at 1501 6Th St , La Grande OR 97850-2419. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Diederich, Amber can be contacted via phone (541) 962-0162.

Contact Information

Primary practice address
1501 6Th St La Grande OR 97850-2419
Phone: (541) 962-0162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X 16-CRM-141 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17-06-28 Oregon

Profile Details

NPI number 1508310384
LBN Legal business name Diederich, Amber
Credentials CADC I, CRM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated Jul 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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