Individual provider · Type 1 NPI
Robert Didericksen, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Eugene, OR
NPI number
1407231244
Active
Practice location
1501 Pearl St
Eugene, OR 97401-4010
Mailing address
1258 High St
Eugene, OR 97401-3238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 0995173 (CO) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
7 other providers at this address
- Community Rehabilitation Services of OregonSpeech-Language Pathologist Eugene, OR NPI 1801012695
- Judith A. Watkins, MDPsychiatry Physician Eugene, OR NPI 1144258385
- Julianna WindingCase Manager/Care Coordinator Eugene, OR NPI 1891664090
- Marilyn Sara Haber, MA, QMHPMental Health Counselor Eugene, OR NPI 1841645439
- Paloma Guadalupe KoganClinical Social Worker Eugene, OR NPI 1952438822
- Ruth A. Ralph, LPCProfessional Counselor Eugene, OR NPI 1457692899
- Thomas M. Boyd, PhDClinical Neuropsychologist Eugene, OR NPI 1457559734
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- Valerie Baldwin-Thomas, APRN, ACNP, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Eugene, OR NPI 1093713505
About NPI 1407231244
Robert Didericksen, PMHNP-BC's National Provider Identifier is 1407231244, issued on Jul 22, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Eugene, OR. The record was last updated on Nov 4, 2021.