JOLIE ROSANNE DIETZEN

PORTLAND, OR
NPI1831618594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  202000077CRNA)
Additional Taxonomies163W00000X Registered Nurse
(Licence: OR  201703087RN)
Enumeration Date2017-09-14
Last Update Date2020-03-13
Business Address
Miss JOLIE ROSANNE DIETZEN CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7641
Mailing Address
Miss JOLIE ROSANNE DIETZEN CRNA
3181 SW SAM JACKSON PARK RD. MAIL CODE SJH-2
PORTLAND, OR 97239-3011
Phone number: 503-494-4910