person
Elizabeth Jean Dietrich, PA
Medical Physician Assistant in Florence, Oregon
NPI 1811056633

Elizabeth Jean Dietrich is a Medical Physician Assistant based in Eugene, OR and is specialized in Medical. Elizabeth Jean Dietrich practices in Florence, OR and has the professional credentials of PA. The NPI Number for Elizabeth Jean Dietrich is 1811056633 and holds a License No. PA01118 (Oregon).

The current practice location address for Elizabeth Jean Dietrich is 340 9Th St, Florence, OR and can be reached out via phone at 541-902-1634 and via fax at 541-902-9702.

Location: 340 9Th St, Florence, OR, 97402-0451
person
Provider Profile Details
NPI Number
1811056633
Provider Name
Elizabeth Jean Dietrich
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
340 9Th St, Florence, OR, 97402-0451
Phone Number
541-902-1634
Fax Number
541-902-9702
Provider Enumeration Date
12/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200540762RN 01 OR OR STATE BOARD OF NURSING
PA01118 01 OR OBME LICENSE
500632421 05 OR
institution
Provider Business Practice Location Address Details
Address
340 9Th St
City
State
Zip
97439-9470
Phone Number
541-902-1634
Fax Number
541-902-9702
person
Provider Business Mailing Address Details
Address
340 9Th St
City
State
Zip
97439-9470
Phone Number
541-902-1634
Fax Number
541-902-9702
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01118 (Oregon)
Definition
Definition to come...
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