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Dianne Eileen Blust, ANP
Adult Health Nurse Practitioner in Canby, Oregon
NPI 1366445439

Dianne Eileen Blust is an Adult Health Nurse Practitioner based in Lake Oswego, OR and is specialized in Adult Health. Dianne Eileen Blust practices in Canby, OR and has the professional credentials of ANP. The NPI Number for Dianne Eileen Blust is 1366445439 and holds a License No. 200150096 (Oregon).

The current practice location address for Dianne Eileen Blust is 1185 S Elm St, Canby, OR and can be reached out via phone at 503-723-4670 and via fax at 503-266-6649.

Location: 1185 S Elm St, Canby, OR, 97035-8653
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366445439
Provider Name
Dianne Eileen Blust
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
1185 S Elm St, Canby, OR, 97035-8653
Phone Number
503-723-4670
Fax Number
503-266-6649
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
275246 05 OR
institution
Provider Business Practice Location Address Details
Address
1185 S Elm St
City
Canby
State
Oregon
Zip
97013-3935
Phone Number
503-723-4670
Fax Number
503-266-6649
person
Provider Business Mailing Address Details
Address
1185 S Elm St
City
Canby
State
Oregon
Zip
97013-3935
Phone Number
503-723-4670
Fax Number
503-266-6649
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
200150096 (Oregon)
Definition
Definition to come...
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