Kuiper, Paula Deanne Dietsch

Kuiper, Paula Deanne Dietsch is an individual health care provider with primary practice located at 501 N Graham St Suite 220, Portland OR 97227-1654. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Kuiper, Paula Deanne Dietsch can be contacted via phone (503) 413-6200.

Contact Information

Primary practice address
501 N Graham St Suite 220 Portland OR 97227-1654
Phone: (503) 413-6200
Fax: (503) 413-6422
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003216 Washington
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA000475 Oregon

Profile Details

NPI number 1508869157
LBN Legal business name Kuiper, Paula Deanne Dietsch
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 21st, 2024 - about last year

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 1508869157 NPPES
Washington MEDICAID 8420085

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