Individual
DIANE MICHELE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1010 1ST ST SE STE 110, BANDON, OR 97411-9301
(541) 347-2529
Mailing address
PO BOX 113, NINE MILE FALLS, WA 99026-0113
(509) 953-0915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10024518
OR
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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