Individual
DIANNA JULIE SOELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
5736 SE LINCOLN ST, PORTLAND, OR 97215
(302) 275-1544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201260039CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
AP60378755
WA
367500000X
Certified Registered Nurse Anesthetist
RN579938
PA
Other
Enumeration date
07/13/2010
Last updated
08/26/2016
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