Individual provider · Type 1 NPI

Kaitana Martinez Dahle

Family Nurse Practitioner · Ontario, OR

NPI number 1255080321 Active

Practice location

896 Fortner St
Ontario, OR 97914-1787

Mailing address

1441 NE 10th Ave
Payette, ID 83661-5420

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X202207545NP-PP (OR)
Family Nurse Practitioner Primary 363LF0000X72647 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1255080321

Kaitana Martinez Dahle's National Provider Identifier is 1255080321, issued on Mar 23, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ontario, OR. The record was last updated on Jan 13, 2026.