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Dr. Diane Vines, PHD,RN,
Psychiatric/Mental Health Clinical Nurse Specialist in Portland, Oregon
NPI 1053643775

Diane Vines is a Psychiatric/Mental Health Clinical Nurse Specialist based in Portland, OR and is specialized in Psychiatric/Mental Health. Diane Vines practices in Portland, OR and has the professional credentials of PHD,RN,. The NPI Number for Diane Vines is 1053643775 and holds a License No. 200140577RN (Oregon).

The current practice location address for Diane Vines is 3880 Se 8Th Ave, Portland, OR and can be reached out via phone at 503-819-4285. You can also correspond with Diane Vines through the mailing address at 3880 SE 8TH AVE, PORTLAND, OR - 97202-3772 (mailing address contact number: 503-819-4285).

Location: 3880 Se 8Th Ave, Portland, OR, 97202-3772
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Provider Profile Details
NPI Number
1053643775
Provider Name
Diane Vines
Credential
PHD,RN,
Provider Entity Type
Individual
Gender
Female
Address
3880 Se 8Th Ave, Portland, OR, 97202-3772
Phone Number
503-819-4285
Fax Number
Provider Enumeration Date
02/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200140577RN 01 OR R.N. LICENSE
198331 01 CA R.N. LICENSE AND PSYCH NURSE PRACTITIONER INACTIVE
institution
Provider Business Practice Location Address Details
Address
3880 Se 8Th Ave
City
State
Zip
97202-3772
Phone Number
503-819-4285
Fax Number
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Provider Business Mailing Address Details
Address
3880 Se 8Th Ave
City
State
Zip
97202-3772
Phone Number
503-819-4285
Fax Number
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Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
198331 (California)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
200140577RN (Oregon)
Definition
Definition to come...
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