NPI 1386122687

Diana Elizabeth Gwinn, DD

Practitioner Adult Care Home Facility Portland, OR

Practice location

Address: 16405 NE Fargo Cir, Portland, OR 97230-5513
Phone: (503) 484-7287
Fax: (503) 210-5974

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 10465 (OR)

Other Custodial Care Facility providers in Oregon →

Registry record

NPI: 1386122687
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jul 2018
Record last updated: 30 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.