Individual
DIANA TERRY FELDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900 NE GLISAN ST, PORTLAND, OR 97213-2936
(503) 215-0750
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013-01312
NC
207R00000X
Internal Medicine Physician
Primary
MD181636
OR
390200000X
Student in an Organized Health Care Education/Training Program
164529
NC
Other
Enumeration date
05/07/2010
Last updated
07/05/2017
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