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Contact Information

ERIC S DILDINE, PA-C
2275 NE DOCTORS DR.
SUITE 5
BEND, OR97701
 Phone: 541-706-7715
 Fax: 541-706-7742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ERIC S DILDINE · (Male)

NPI Number 1194897264
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/14/2006
Last updated 04/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA01169
  • OR Medicaid 500608143
  • OR Other 11745011 CAQH ID
  • OR Other 00479095 RAILROAD MEDICARE
Hospital affiliation(s)
  • PIONEER MEMORIAL HOSPITAL - (Critical Access)
    1201 NE ELM STREET
    PRINEVILLE, OR 97754
  • ST CHARLES MEDICAL CENTER - BEND - (Acute Care)
    2500 NE NEFF ROAD
    BEND, OR 97701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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