Individual
MEGAN MICHELLE DIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
535 NE 6TH AVE, ESTACADA, OR 97023-9312
(503) 630-8550
Mailing address
535 NE 6TH AVE, ESTACADA, OR 97023-9312
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
09/06/2022
Last updated
09/06/2022
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