Dian L Ervin is a Clinical in Bend, Oregon. Dian L Ervin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Dian L Ervin is 1700897907. The last update date is 2013-06-20.
Dian L Ervin's current location address is Po Box 5579, Bend, Oregon. You can contact this provider via phone number 5417062768 and fax number 5417064760. The mailing address for Dian L Ervin is Po Box 5579, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dian L Ervin |
|---|---|
| Address | Po Box 5579, Bend, Oregon |
| Phone Number | 5417062768 |
| Fax Number | 5417064760 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1700897907 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2013-06-20 |
Provider Mailing Address Detail
| Address | Po Box 5579 |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977085579 |
| Phone Number | 5417062768 |
| Fax Number | 5417064760 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L2161 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500633110 | OR | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Dian L Ervin?
The Dian L Ervin has been issued the NPI (National Provider Identifier) 1700897907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Dian L Ervin?
The Dian L Ervin is situated at Po Box 5579, in the city of Bend, state of OR, with the zip code 977085579.
What is the Dian L Ervin's specialty and taxonomy code?
The Dian L Ervin's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700897907 to Dian L Ervin?
The Centers for Medicare & Medicaid Services assigned the 1700897907 to Dian L Ervin on 2006-08-11.
When was the information pertaining to Dian L Ervin most recently updated or revised?
The details related to Dian L Ervin, including its address, specialty, and other relevant information, were last updated or revised on 2013-06-20.
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