NPI 1083069629 · live from the CMS NPI Registry
Dianne Bach
Anesthesiology in Portland, OR. National Provider Identifier 1083069629, active.
NPI record
| NPI | 1083069629 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-7641 |
| Mailing address | Po Box 5000 Unit 65, Portland, OR 97208 |
| Enumerated | May 2, 2016 |
| Last updated | November 26, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | MD225573 (OR) |
| Anesthesiology | 207L00000X | A144943 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.