DEBORAH GLORIA BACA-DIETZ

SALEM, OR
NPI1780196220
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201708782NP-PP)
Enumeration Date2017-10-24
Last Update Date2023-11-27
Business Address
DEBORAH GLORIA BACA-DIETZ NP
1233 EDGEWATER ST NW
SALEM, OR 97304
Phone number: 503-378-7526
Mailing Address
DEBORAH GLORIA BACA-DIETZ NP
1233 EDGEWATER ST NW
SALEM, OR 97304-4049
Phone number: 503-378-7526
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