Individual
SHEILAGH DIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 276-6500
Mailing address
2240 SE 59TH AVE, PORTLAND, OR 97215-4016
(503) 367-1424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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