Healthcare Provider Details

I. General information

NPI: 1861246225
Provider Name (Legal Business Name): DIANA S VALDEZ RODRIGUEZ ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2024
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16703 SE MCGILLIVRAY BLVD STE 175
VANCOUVER WA
98683-4301
US

IV. Provider business mailing address

8701 E MILL PLAIN BLVD APT 25
VANCOUVER WA
98664-2573
US

V. Phone/Fax

Practice location:
  • Phone: 360-519-7631
  • Fax:
Mailing address:
  • Phone: 916-585-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-1494
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNATU.NT.70133570
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: