Individual
MRS. DIANA M BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
375 NW BEAVER ST STE 101, PRINEVILLE, OR 97754-1802
(541) 447-0707
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201404841NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500678082
—
OR
Enumeration date
10/18/2006
Last updated
10/24/2024
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