Diedra M Pine is a Pediatrics in Portland, Oregon. Diedra M Pine practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Diedra M Pine is 1942321104. The last update date is 2007-07-08.
Diedra M Pine's current location address is 1675 Sw Marlow Ave Ste 200, Portland, Oregon. You can contact this provider via phone number 5038025261 and fax number 5039056159. The mailing address for Diedra M Pine is 1675 Sw Marlow Ave Ste 200, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diedra M Pine |
|---|---|
| Address | 1675 Sw Marlow Ave Ste 200, Portland, Oregon |
| Phone Number | 5038025261 |
| Fax Number | 5039056159 |
| Sole Proprietor | N |
| Credentials | MOT |
NPI Number Detail
| NPI Number | 1942321104 |
|---|---|
| Provider Enumeration Date | 2007-04-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1675 Sw Marlow Ave Ste 200 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255102 |
| Phone Number | 5038025261 |
| Fax Number | 5039056159 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 1060048 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Diedra M Pine by the Centers for Medicare & Medicaid Services?
The Diedra M Pine has been assigned the NPI (National Provider Identifier) 1942321104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Diedra M Pine's facilities are geographically located?
The facilities of Diedra M Pine are physically situated at the following location: 1675 Sw Marlow Ave Ste 200, Portland, OR, 972255102.
What is Diedra M Pine's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Diedra M Pine is Pediatrics, and the taxonomy code that categorizes this field of expertise is 225Xp0200X.
When did the Diedra M Pine receive its 1942321104?
The Diedra M Pine was issued its 1942321104 on 2007-04-03, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Diedra M Pine, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diedra M Pine, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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