Kaiser, Diane S

Kaiser, Diane S is an sole proprietor health care provider with primary practice located at 1701 E Evergreen Blvd , Vancouver WA 98661-4289. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kaiser, Diane S can be contacted via phone (360) 524-5200.

Contact Information

Primary practice address
1701 E Evergreen Blvd Vancouver WA 98661-4289
Fax: (360) 326-1635
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY2519 Washington

Profile Details

NPI number 1689738841
LBN Legal business name Kaiser, Diane S
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Nov 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689738841 NPPES
Oregon MEDICAID 164936

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