Individual provider · Type 1 NPI

Etta Lee Dieter, BSN, RN

Psychiatric/Mental Health Registered Nurse · Portland, OR

NPI number 1710255237 Active

Practice location

847 NE 19th Ave
Portland, OR 97232-2684

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X200941213RN (OR)
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1710255237

Etta Lee Dieter, BSN, RN's National Provider Identifier is 1710255237, issued on Dec 12, 2011. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Portland, OR. The record was last updated on May 23, 2016.