Marlene Diaz Aguilar

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

112843 Issued in OR

Practice address

1312 E Powell Blvd
Gresham, OR 97030-8003

Phone

(971) 427-4222

NPI assigned

Dec 18, 2024

Last updated

Dec 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1285441618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SE KING RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222891",
            "telephone_number": "971-427-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 E POWELL BLVD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970308003",
            "telephone_number": "971-427-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ AGUILAR",
        "first_name": "MARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "112843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunita M Deshmukh, MD
• Linda Dewhitt, LPN
• Talia Rose Dewolfe
• Amber Dawn Deyo
• Dialysis Centers of Oregon, LLC (U.S. Renal Care Gresham Dialysis)
• Kylie Dieringer
• Robert Owen Dietz, DC
• Sarah Elizabeth Dilday, PWS/QMHA-I
• Kamilah Dillard
• John William Dillow, BA

• Peer Specialist in Gresham, OR
• Providers in Gresham, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.