Cort-Wagner, Diane Kathleen

Cort-Wagner, Diane Kathleen is an individual health care provider with primary practice located at 622 Airport Rd , Pendleton OR 97801-4598. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Cort-Wagner, Diane Kathleen can be contacted via phone (541) 276-0057.

Contact Information

Primary practice address
622 Airport Rd Pendleton OR 97801-4598
Phone: (541) 276-0057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 085075504N1 FNP-PP Oregon

Profile Details

NPI number 1720275365
LBN Legal business name Cort-Wagner, Diane Kathleen
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720275365 NPPES
Oregon Other 085075504N1 FNP-PP OREGON STATE BOARD OF NUR

Popular Providers