person
Robert Didericksen, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Eugene, Oregon
NPI 1407231244

Robert Didericksen is a Psychiatric/Mental Health Nurse Practitioner based in Eugene, OR and is specialized in Psychiatric/Mental Health. Robert Didericksen practices in Eugene, OR and has the professional credentials of PMHNP-BC. The NPI Number for Robert Didericksen is 1407231244 and holds a License No. 0995173 (Oregon).

The current practice location address for Robert Didericksen is 1501 Pearl St, Eugene, OR and can be reached out via phone at 541-342-8437.

Location: 1501 Pearl St, Eugene, OR, 97401-3238
person
Provider Profile Details
NPI Number
1407231244
Provider Name
Robert Didericksen
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
1501 Pearl St, Eugene, OR, 97401-3238
Phone Number
541-342-8437
Fax Number
Provider Enumeration Date
07/22/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1501 Pearl St
City
State
Zip
97401-4010
Phone Number
541-342-8437
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Pearl St
City
State
Zip
97401-4010
Phone Number
541-342-8437
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
0995173 (Colorado)
Definition
Definition to come...
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