Healthcare Provider Details

I. General information

NPI: 1003771023
Provider Name (Legal Business Name): DIEZ CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 E CASCADE AVE
SISTERS OR
97759-9009
US

IV. Provider business mailing address

1170 E CASCADE AVE
SISTERS OR
97759-9009
US

V. Phone/Fax

Practice location:
  • Phone: 541-526-1306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SHAWN DIEZ
Title or Position: OWNER
Credential: MA, LPC
Phone: 541-526-1306