Active NPI
Faith Dieleman, MD
- Family Medicine Physician
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61374305
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12083 | Medicaid | ND |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| RL15725 | ND | MD | Family Medicine Physician |
| MD210121 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California-San Bernardino, PC | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Olympic Medical Physicians | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Samaritan Pacific Health Services Inc | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Cogent Healthcare of Washington, PC | Family Medicine | Current | Accepting new patients |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| Oregon Healthcare Resources, LLC | Current | 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
- fdieleman220218@secure.stcharleshealthcare.org
- 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.
-
dba Providence Medical Group
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
dba Oregon Medical Group
- Multi-Specialty Clinic/Center
- Eugene, OR
- NPI 1982907572
-
dba Providence Portland Medical Center
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
dba Providence Seaside Hospital
- Critical Access Hospital
- Seaside, OR
- NPI 1578500492
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
dba Samaritan Pacific Communities Hospital
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
dba Samaritan Medical Group Occupational Medicine - Newport
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
dba St. Charles - Madras
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
- Family Medicine Physician
- Port Angeles, WA
- NPI 1427081967
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NW High Desert Sleep Center Bend
- Sleep Disorder Diagnostic Clinic/Center
- Bend, OR
- NPI 1164675963
Hospital
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
-
dba Providence Milwaukie Hospital
- General Acute Care Hospital
- Milwaukie, OR
- NPI 1366536963
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.