Dimitri, Mindy Lynn

Dimitri, Mindy Lynn is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Ste 622 , Portland OR 97210-5104. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Dimitri, Mindy Lynn can be contacted via phone (503) 229-8455.

Contact Information

Primary practice address
2222 Nw Lovejoy St Ste 622 Portland OR 97210-5104
Phone: (503) 229-8455
Fax: (503) 229-7028
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X

Profile Details

NPI number 1962853820
LBN Legal business name Dimitri, Mindy Lynn
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2016
Last updated Nov 26th, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962853820 NPPES
Oregon MEDICAID 500714556

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