Ervin, Dian L

Ervin, Dian L is an individual health care provider with primary practice located at 2542 Ne Courtney Dr , Bend OR 97701-7685. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ervin, Dian L can be contacted via phone (541) 706-2768.

Contact Information

Primary practice address
2542 Ne Courtney Dr Bend OR 97701-7685
Fax: (541) 706-4760

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2161 Oregon

Profile Details

NPI number 1700897907
LBN Legal business name Ervin, Dian L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 20th, 2013 - about 10 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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All States NPI 1700897907 NPPES
Oregon MEDICAID 500633110

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