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

ELIZABETH JEAN DIETRICH, PA

Active

ELIZABETH JEAN DIETRICH, PA is a Medical Physician Assistant healthcare provider located in FLORENCE, Oregon. NPI 1811056633 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · FLORENCE, OR

Registration Details

NPI Number
1811056633
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2006 (19.676472484498 yrs)
Last Updated
Nov 29, 2012
License
PA01118 (OR)

Practice Information

Address
340 9TH ST
FLORENCE, OR, 974399470
Browse OR providers · Browse ZIP 97439
Phone
5419021634
Fax
5419029702
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in FLORENCE, OR

Name Credential NPI
EMILY PFAFF PA 1467548669
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.