Individual
MS. DIANE JANELLE BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3761
OR
1041C0700X
Clinical Social Worker
Primary
L3761
OR
Other
Enumeration date
03/04/2010
Last updated
03/12/2026
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