Individual provider · Type 1 NPI

Diane Halvarson West, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1336583103 Active

Practice location

3181 SW Sam Jackson Park Road, Ohsu
Portland, OR 97239

Mailing address

11811 NE 68th Pl
Kirkland, WA 98033-8428

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336583103

Diane Halvarson West, MD's National Provider Identifier is 1336583103, issued on Apr 24, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 24, 2013.