Dianne C Eardley in Portland - Internal Medicine

Dianne C Eardley - NPI 1740210434

Dianne C Eardley is a Internal Medicine in Portland, Oregon. Dianne C Eardley practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dianne C Eardley is 1740210434. The last update date is 2021-03-09.

Dianne C Eardley's current location address is 417 Sw 117th Ave, Portland, Oregon. You can contact this provider via phone number 5032169400 and fax number 5032169499. The mailing address for Dianne C Eardley is 417 Sw 117th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Dianne C Eardley
Address 417 Sw 117th Ave, Portland, Oregon
Phone Number 5032169400
Fax Number 5032169499
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740210434
Provider Enumeration Date 2006-07-05
Last Updated Date 2021-03-09

Provider Mailing Address Detail

Address 417 Sw 117th Ave
City Portland
State Oregon (OR)
Post Code 9722559240
Phone Number 5032169400
Fax Number 5032169499

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD18802
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
65748 OR --
110084688 OR RR MEDICARE

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FAQs about Dianne C Eardley

What is the unique provider identifier assigned to Dianne C Eardley?

The Dianne C Eardley has been issued the NPI (National Provider Identifier) 1740210434 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Dianne C Eardley is physically located?

The Dianne C Eardley is situated at the following address: 417 Sw 117Th Ave, Portland, OR 9722559240.

What is Dianne C Eardley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Dianne C Eardley is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did the Dianne C Eardley receive the assignment of its 1740210434 from the Centers for Medicare & Medicaid Services?

The Dianne C Eardley was issued its 1740210434 by the Centers for Medicare & Medicaid Services on 2006-07-05.

When was the information regarding Dianne C Eardley most recently updated?

The details pertaining to the Dianne C Eardley, including its address, specialty, and other relevant information, were last refreshed on 2021-03-09.

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