Individual
DIANA SCHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
891 O'HARE PKWY, MEDFORD, OR 97504
(541) 423-8123
(541) 200-2247
Mailing address
891 O'HARE PKWY, MEDFORD, OR 97504
(541) 423-8123
(541) 200-2247
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201050154NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500626958
—
OR
Enumeration date
01/18/2006
Last updated
06/13/2024
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