Krista E Dierks, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00002339 Issued in WA

Practice address

8383 NE Sandy Blvd Ste 110
Portland, OR 97220-4966

Phone

(503) 273-5370

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By 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

Other names 1

• Dr. Krista E. Dierks-Spencer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1376713859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204966",
            "telephone_number": "503-273-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 NE SANDY BLVD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204966",
            "telephone_number": "503-273-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKS",
        "first_name": "KRISTA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00002339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "DIERKS-SPENCER",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seaanna Cecile Diemer
• Ananda Diener
• Lisa Lynn Diepenhorst, MD
• Danielle Dierking
• Eric J Dierks, MD, DMD
• Katie Ariel Diershaw, MS
• Etta Lee Dieter, BSN, RN
• Hunter Dieter
• Brandie Gayle Dieterle Delahoz
• Leslie Dieterle, B.S.

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.