Dietz, Robert Owen
Dietz, Robert Owen is an sole proprietor health care provider with primary practice located at 1217 Ne Burnside Rd Suite 502, Gresham OR 97030-6722. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dietz, Robert Owen can be contacted via phone (503) 492-3910.Contact Information
Primary practice address
1217 Ne Burnside Rd Suite 502
Gresham OR 97030-6722
Phone: (503) 492-3910
Fax: (503) 492-3905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 273650 | Oregon |
Profile Details
| NPI number | 1992992077 |
|---|---|
| LBN Legal business name | Dietz, Robert Owen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2007 |
| Last updated | Oct 2nd, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992992077 | NPPES |
| California | Other | 273650 | MEDICAL LICENSE |
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