Beth Galadriel Diamond
Individual provider Active NPI Peer Specialist · Burns, OR
NPI 1356905913 · NPPES record last updated Apr 29, 2019
Key facts
- NPI
- 1356905913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 348 W Adams St
Burns, OR 97720-1710 - Phone
- (541) 573-8376
- NPI assigned
- Apr 29, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
348 W Adams St
Burns, OR 97720-1710
Mailing address
348 W Adams St
Burns, OR 97720-1710
Phone (541) 573-8376
Other providers in Burns, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.