Elizabeth Jean Dietrich in Eugene - Medical
Elizabeth Jean Dietrich - NPI 1811056633
Elizabeth Jean Dietrich is a Medical in Eugene, Oregon. Elizabeth Jean Dietrich practices all healthcare services and medical treatments related to Medical. The NPI Number for Elizabeth Jean Dietrich is 1811056633. The last update date is 2012-11-29.
Elizabeth Jean Dietrich's current location address is Po Box 24410, Eugene, Oregon. You can contact this provider via phone number 5419844301. The mailing address for Elizabeth Jean Dietrich is Po Box 24410, Eugene, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Jean Dietrich |
|---|---|
| Address | Po Box 24410, Eugene, Oregon |
| Phone Number | 5419844301 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1811056633 |
|---|---|
| Provider Enumeration Date | 2006-12-07 |
| Last Updated Date | 2012-11-29 |
Provider Mailing Address Detail
| Address | Po Box 24410 |
|---|---|
| City | Eugene |
| State | Oregon (OR) |
| Post Code | 974020451 |
| Phone Number | 5419844301 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA01118 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200540762RN | OR | OR STATE BOARD OF NURSING | |
| PA01118 | OR | OBME LICENSE | |
| 500632421 | OR | -- |
Post Comment/ Review Below
What is the Elizabeth Jean Dietrich's 1811056633?
The Elizabeth Jean Dietrich's NPI (National Provider Identifier) Number is 1811056633. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Elizabeth Jean Dietrich is geographically located?
The Elizabeth Jean Dietrich is physically situated at the following location: Po Box 24410, Eugene, OR, 974020451.
What is Elizabeth Jean Dietrich'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 Elizabeth Jean Dietrich is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811056633 to Elizabeth Jean Dietrich?
The Centers for Medicare & Medicaid Services originally issued the 1811056633 to Elizabeth Jean Dietrich on 2006-12-07.
When was the information related to Elizabeth Jean Dietrich most recently updated or refreshed?
The details pertaining to the Elizabeth Jean Dietrich, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-11-29.
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