DIANNE EILEEN BLUST

CANBY, OR
NPI1366445439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: OR  200150096)
Enumeration Date2005-05-23
Last Update Date2010-10-18
Business Address
-- DIANNE EILEEN BLUST ANP
1185 S ELM ST
CANBY, OR 97013-3935
Phone number: 503-723-4670
Mailing Address
-- DIANNE EILEEN BLUST ANP
6 CENTERPOINTE DR STE 200
LAKE OSWEGO, OR 97035-8653
Phone number: 503-797-2268
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