Scholtz, Diana

Scholtz, Diana is an individual health care provider with primary practice located at 891 O'Hare Pkwy , Medford OR 97504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Scholtz, Diana can be contacted via phone (541) 423-8123.

Contact Information

Primary practice address
891 O'Hare Pkwy Medford OR 97504
Phone: (541) 423-8123
Fax: (541) 200-2247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 201050154NP Oregon

Profile Details

NPI number 1477533263
LBN Legal business name Scholtz, Diana
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jun 13th, 2024 - about 3 months 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 1477533263 NPPES
Oregon MEDICAID 500626958

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