Individual
DR. ALISSE ANNA DIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
137 HALL AVE, COOS BAY, OR 97420-1519
(541) 236-2088
(541) 931-8824
Mailing address
PO BOX 1435, COOS BAY, OR 97420-0349
(541) 236-2088
(541) 931-8824
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
202105516NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202108253NP-PP
OR
Other
Enumeration date
10/21/2020
Last updated
02/23/2023
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