Active NPIIndividual provider

Deborah G Baca-Dietz, NP

Nurse Practitioner, Family in Salem, Oregon

NPI Number1780196220
Practice location
1233 Edgewater St NW, Salem, OR 97304
Fax
—
Last updated
November 27, 2023

Deborah G Baca-Dietz, NP is a Nurse Practitioner, Family based in Salem, OR. Deborah G Baca-Dietz, NP holds the professional credentials of NP. The NPI number for Deborah G Baca-Dietz, NP is 1780196220 and holds license No. 201708782NP-PP (OR). The current practice location address is 1233 Edgewater St NW, Salem, OR 97304 and the office can be reached by phone at 503-378-7526. The NPI was assigned on October 24, 2017 and the record was last updated in NPPES on November 27, 2023.

●Provider Profile Details

NPI Number
1780196220
Provider Name
Deborah Gloria Baca-Dietz
Credential
NP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Enumeration Date
October 24, 2017
Last Update Date
November 27, 2023
Certification Date
October 9, 2020
NPI Status
Active

◉Business Practice Location Address

Address
1233 Edgewater St NW
Salem, OR 97304
City
Salem
State
Oregon
ZIP
97304
Country
US
Phone Number
503-378-7526

Get directions →

✉Business Mailing Address

Address
1233 Edgewater St NW
Salem, OR 97304-4049
City
Salem
State
OR
ZIP
97304-4049
Phone Number
503-378-7526
Fax Number
503-588-5815

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Nurse Practitioner, Family363LF0000XYes201708782NP-PPOR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

☉Other providers near Salem, OR

View all providers in Salem →

?Frequently Asked Questions

What is the NPI number of Deborah G Baca-Dietz, NP?

The NPI number of Deborah G Baca-Dietz, NP is 1780196220. It was assigned on October 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Deborah G Baca-Dietz, NP?

Deborah G Baca-Dietz, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 201708782NP-PP (OR).

Where does Deborah G Baca-Dietz, NP practice?

The practice location is 1233 Edgewater St NW, Salem, OR 97304. The office can be reached at 503-378-7526 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780196220 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

Browse related providers