Individual provider Active NPI

Faith Dieleman, MD

  • Family Medicine Physician
  • Bend, OR
National Provider Identifier
1942860994
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61374305 Issued in WA
Practice address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone
(541) 706-6892
Fax
(541) 706-6813
NPI assigned
Jun 20, 2019
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RL15725 ND
Family Medicine Physician 207Q00000X MD61374305 WA Primary
Family Medicine Physician 207Q00000X MD210121 OR

Addresses

Primary practice location

2500 NE Neff Rd
Bend, OR 97701-6015

Mailing address

701 E Rosser Ave
Bismarck, ND 58501-4457

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Other practice location 2

315 NE 192nd Ave Ste 310
Vancouver, WA 98684-7505
Phone (360) 729-8200

Other practice location 3

3240 NE 3rd Ave
Camas, WA 98607-2408
Phone (360) 729-8234

Other practice location 4

505 NE 87th Ave Ste 260
Vancouver, WA 98664-1965
Phone (360) 514-6450

Other practice location 5

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone (360) 735-8100

Other practice location 6

701 E Rosser Ave
Bismarck, ND 58501-4457
Phone (701) 751-9500

Other practice location 7

939 Caroline St
Port Angeles, WA 98362-3997
Phone (360) 417-7000

Other practice location 8

3400 Main St
Vancouver, WA 98663-2223
Phone (360) 696-5232

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fdieleman250405@samhealth.direct-ci.com
Direct Messaging Address fdieleman220218@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220830003880 OR Practitioner - Family Practice 1658778568 Reassigns benefits to 11 organizations
I20221221002946 WA Practitioner - Family Practice 1658778568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, shared by 10 NPIs, 174 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-3613

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 557-2136

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 706-2768

9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RL15725NDMDFamily Medicine Physician
MD210121ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon Current Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Nov 10, 2022 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Oct 16, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jan 29, 2024 Accepting new patients
St. Charles Health System, Inc. CurrentSince Aug 4, 2025 Accepting new patients
Hospitalist Medicine Physicians of California-San Bernardino, PC CurrentSince Nov 10, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 26, 2024 Accepting new patients
Olympic Medical Physicians Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Nov 10, 2022 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jul 29, 2023 Accepting new patients
Samaritan Pacific Health Services Inc CurrentSince Oct 16, 2022 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Providence Health & Services - Oregon Family Medicine CurrentSince Jan 26, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 29, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Jul 29, 2023 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Nov 10, 2022 Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 26, 2024 Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Oct 10, 2022 Accepting new patients
St. Charles Health System, Inc. Family Medicine Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

2830 Crescent Ave
Eugene, OR 97408
Phone (541) 636-9019

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

470 NE A St
Madras, OR 97741
Phone (541) 475-3882

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

330 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2133

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: fdieleman220218@secure.stcharleshealthcare.org
  • Direct secure messaging: fdieleman250405@samhealth.direct-ci.com

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 28

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1942860994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E ROSSER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-706-6892",
            "fax_number": "541-706-6813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-265-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 NE 192nd Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986847505",
            "country_code": "US",
            "telephone_number": "360-729-8200",
            "fax_number": "360-729-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3240 NE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986072408",
            "country_code": "US",
            "telephone_number": "360-729-8234",
            "fax_number": "360-729-3337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 260",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-6450",
            "fax_number": "360-514-6451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16811 SE McGillivray Blvd",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986833404",
            "country_code": "US",
            "telephone_number": "360-735-8100",
            "fax_number": "360-253-1781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 E Rosser Ave",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014457",
            "country_code": "US",
            "telephone_number": "701-751-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623997",
            "country_code": "US",
            "telephone_number": "360-417-7000",
            "fax_number": "360-417-7318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Main St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986632223",
            "country_code": "US",
            "telephone_number": "360-696-5232",
            "fax_number": "360-696-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIELEMAN",
        "first_name": "FAITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL15725",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61374305",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD210121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdieleman250405@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdieleman220218@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.