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NPI Code Detail

MEDICARE: DIANE ALICIA SAUNDERS ND

MEDICARE: DIANE ALICIA SAUNDERS ND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath3020OR

General Provider Information

NPI Number : 1982074092
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE ALICIA SAUNDERS ND
Provider Business Mailing Address
First Line : 1835 NE 16TH AVE APT 1
Second Line :
City : PORTLAND
State : OR
Zip : 97212-4478
Country : US
Telephone Number : 805-403-2449
Fax Number :
Provider Business Practice Location Address
First Line : 3025 SW CORBETT AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97201-4858
Country : US
Telephone Number : 503-552-1551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 10/01/2015

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Directions to “ DIANE ALICIA SAUNDERS ND” Practice Location

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