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SHONDELL DIAZ

Individual Provider (NPI-1) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1376978825
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
3705 SE CESAR CHAVEZ BLVD, PORTLAND, OR, 972021704
Phone
(206) 785-1015
Fax
(206) 785-1023

Specialties & Taxonomies

Physician Assistant, Medical License: OR #PA164846
Psychiatry & Neurology, Addiction Medicine License: OR #PA164846
Physician Assistant License: OR #PA164846
Psychiatry & Neurology, Psychiatry Primary License: OR #PA164846

All Addresses

LOCATION

3705 SE CESAR CHAVEZ BLVD

PORTLAND, OR, 972021704

(206) 785-1015

MAILING

3705 SE CESAR CHAVEZ BLVD

PORTLAND, OR, 972021704

(541) 500-8655