Individual
MISS CHELSIE JUSTINE KALINA DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
PO BOX 5000, UNIT 65, PORTLAND, OR 97208-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD227475
OR
Other
Enumeration date
03/21/2021
Last updated
12/22/2025
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