Vines, Diane

Vines, Diane is an sole proprietor health care provider with primary practice located at 3880 Se 8Th Ave Suite 110, Portland OR 97202-3772. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Vines, Diane can be contacted via phone (503) 819-4285.

Contact Information

Primary practice address
3880 Se 8Th Ave Suite 110 Portland OR 97202-3772
Phone: (503) 819-4285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 200140577RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 198331 California

Profile Details

NPI number 1053643775
LBN Legal business name Vines, Diane
Credentials PH.D., R.N.,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2010
Last updated Feb 4th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053643775 NPPES
Oregon Other 200140577RN R.N. LICENSE
Oregon Other 198331 R.N. LICENSE

Popular Providers