Mamie D Diaz, PA

NPI #1942206586 in Sherwood, Oregon

Provider Information

NPI Number: 1942206586
Entity Type: Individual
Name: Mamie D Diaz, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 27, 2005
Last Updated: Mar 12, 2012

Practice Location

Address: 16770 SW EDY RD
Address 2: SUITE 102
City: Sherwood
State: Oregon
ZIP Code: 97140-9679
Phone: (503) 215-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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