Dieter, Etta Lee

Dieter, Etta Lee is an individual health care provider with primary practice located at 847 Ne 19Th Ave , Portland OR 97232-2684. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Dieter, Etta Lee can be contacted via phone (503) 328-0769.

Contact Information

Primary practice address
847 Ne 19Th Ave Portland OR 97232-2684
Phone: (503) 328-0769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 200941213RN Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1710255237
LBN Legal business name Dieter, Etta Lee
Credentials BSN, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2011
Last updated May 23rd, 2016 - about 10 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.

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