Individual
DIANE ELISE MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD193303
OR
207LP3000X
Pediatric Anesthesiology Physician
MD193303
OR
208000000X
Pediatrics Physician
0042805
TX
Other
Enumeration date
04/17/2012
Last updated
08/11/2020
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