Individual provider · Type 1 NPI

Diedre Pearson, RBT

Other Technician · Portland, OR

NPI number 1558863142 Active

Practice location

4949 SW Macadam Ave
Portland, OR 97239-3912

Call (800) 273-4292 Map

Fax (949) 253-4292

Mailing address

11037 Warner Ave # 339
Fountain Valley, CA 92708-4007

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

2 other providers at this address

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About NPI 1558863142

Diedre Pearson, RBT's National Provider Identifier is 1558863142, issued on Feb 28, 2018. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Portland, OR. The record was last updated on Feb 28, 2018.