NPIRadar

Etta Lee Dieter, BSN, RN Valid NPI

Individual provider · Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI
1710255237
Type
Individual (Type 1)
Primary specialty
Psychiatric/Mental Health Registered Nurse (Registered Nurse)
Specialty group
Nursing Service Providers
Taxonomy code
163WP0808X
License number
200941213RN (OR)
Sex
Female
Sole proprietor
No
Enumerated
2011-12-12
Last updated
2016-05-23
Practice location
847 Ne 19th Ave
Portland, OR 97232-2684
(503) 328-0769

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