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