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Individual

LISA LYNN DIEPENHORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1130 NW 22ND AVE STE 520, PORTLAND, OR 97210-2976
(503) 274-4800
(503) 274-4917
Mailing address
7650 SW BEVELAND RD STE 200, PORTLAND, OR 97223-8692
(503) 601-3615
(503) 646-1683

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD26602
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
240035
OR
Enumeration date
05/31/2006
Last updated
01/28/2026
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