DIANE HENNACY POWELL

MEDFORD, OR
NPI1851502512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR  MD25438)
Enumeration Date2007-05-24
Last Update Date2007-07-08
Business Address
-- DIANE HENNACY POWELL M.D.
245 VALLEY VIEW DR
MEDFORD, OR 97504-6973
Phone number: 541-770-3171
Mailing Address
-- DIANE HENNACY POWELL M.D.
245 VALLEY VIEW DR
MEDFORD, OR 97504-6973
Phone number: 541-770-3171