Individual
BETH STRASSER DIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 307-8990
(503) 363-4214
Mailing address
290 MOYER LN NW, SALEM, OR 97304-3822
(503) 307-8990
(503) 363-4214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1006149
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026648000
BLUE CROSS ID#
OR
05
—
240146
—
OR
01
—
A003
TRICARE ID#
OR
Enumeration date
01/09/2007
Last updated
12/10/2008
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