NPI 1699127993

Jeanette Dibala, SAC

Practitioner Surgical Assistant Silverton, OR

Practice location

Address: 342 Fairview St, Silverton, OR 97381-1917
Phone: (503) 873-1713
Mailing address: 12353 Silverton Rd NE, Silverton, OR 97381-9363

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 16-379 (OR)

Other Specialist/Technologist, Other providers in Oregon →

Registry record

NPI: 1699127993
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jul 2016
Record last updated: 11 Jul 2016

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.