Individual
DIANA M SEADERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
(503) 561-6440
Mailing address
875 OAK ST SE STE 4030, SALEM, OR 97301-3984
(503) 561-6444
(503) 561-6440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5318
AZ
363A00000X
Physician Assistant
PA164969
OR
363AM0700X
Medical Physician Assistant
Primary
PA164959
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
767954
—
AZ
Enumeration date
12/04/2012
Last updated
12/10/2025
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