Individual
ELIZABETH S BURNS-DIESING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 SW MARKET ST, PORTLAND, OR 97201-5723
(503) 225-6603
Mailing address
100 SW MARKET ST, PORTLAND, OR 97201-5723
(503) 225-6603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M11095
ID
207R00000X
Internal Medicine Physician
Primary
MD25347
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027754
—
OR
Enumeration date
06/30/2006
Last updated
01/04/2017
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