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

MAMIE D DIAZ, PA

Active

Physician Assistant · SHERWOOD, OR

Registration Details

NPI Number
1942206586
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2005 (20.830880163281 yrs)
Last Updated
Mar 12, 2012
Licenses
PA00713 (OR)
PA00713 (OR)

Practice Information

Address
16770 SW EDY RD
SUITE 102
SHERWOOD, OR, 971409679
Browse OR providers · Browse ZIP 97140
Phone
5032159600
Fax
6787412301
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in SHERWOOD, OR

Name Credential NPI
DAVID NATHANIEL COUNTS PA-C 1881978724
MS. MELISSA ANN ELLIS PA-C 1295161834
PIPER H SULLIVAN PA-C 1063822104
TONYA SARTOR PA-C 1538572458
PHOEBE NICOLE ROBINSON PA-C 1003217662
CORD R KEEL PA-C 1649671132
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.