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Individual

DR. ANNA COLLEEN DIEDESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
3710 SW US VETERANS HOSPITAL RD, NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-1402
Mailing address
3710 SW US VETERANS HOSPITAL RD, NCRAR, PORTLAND, OR 97239-2964
(503) 220-8262
(503) 721-1402

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23196
OR

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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