Individual
KAY LYNN DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
SKYLINE MEDICAL OFFICE, 5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 588-5955
Mailing address
7222 FIELDVIEW ST NE, KEIZER, OR 97303-7216
(503) 390-4350
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OR MD16657
OR
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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