Individual
DIANA LYNNE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 298-5263
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452
(541) 298-5263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200440782RN
OR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200440782RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699745794
—
OR
Enumeration date
04/14/2016
Last updated
04/14/2016
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