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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ETTA LEE DIETER, BSN, RN

Active

Child & Adolescent Psychiatric Nurse · PORTLAND, OR

Registration Details

NPI Number
1710255237
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2011 (14.391985558021 yrs)
Last Updated
May 23, 2016
License
200941213RN (OR)

Practice Information

Address
847 NE 19TH AVE
PORTLAND, OR, 972322684
Browse OR providers · Browse ZIP 97232
Phone
5033280769
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
Additional Specialty
Mental Health Counselor
Additional Specialty
Case Manager

Other Child & Adolescent Psychiatric Nurse Providers in PORTLAND, OR

Name Credential NPI
SONJA LEA EATON R.N. 1518991660
ROBIN SHUMAN RN 1386660058
MS. CAROL UTTERBERG PMHNP 1386759769
MS. ROBIN L PAISLEY RN 1912008954
MRS. PATRICIA J. OSBORNE PMHNP 1467533778
ALEIA LAVONNE COWAN RN 1013066141
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.