Individual
SCOTT DIEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3780 SE SPY GLASS RIDGE DR, LINCOLN CITY, OR 97367-1939
(541) 270-3365
Mailing address
459 SW COAST HWY, NEWPORT, OR 97365-4978
(541) 265-6704
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
201808801RN
OR
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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