NPI 1285886960 · live from the CMS NPI Registry
Teresa Marie Diamata
Registered Nurse, Psych/Mental Health, Adult in Portland, OR. National Provider Identifier 1285886960, active.
NPI record
| NPI | 1285886960 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Adult 163WP0809X |
| Practice location | 2330 Ne Siskiyou St, Portland, OR 97212 |
| Practice phone | 503-528-0757 |
| Mailing address | Po Box 8459, Portland, OR 97207 |
| Enumerated | October 14, 2008 |
| Last updated | October 14, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult primary | 163WP0809X | 200642562RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.