Individual
MS. DIANE E GREENBLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010648
NY
363A00000X
Physician Assistant
Primary
PA161432
OR
Other
Enumeration date
10/10/2006
Last updated
05/15/2025
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