DR. DIANE VINES PH.D. R.N. NPI 1053643775

NPI Information

NPI: 1053643775
Provider Name: DR. DIANE VINES, PH.D., R.N.,
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
3880 SE 8TH AVE
SUITE 110
PORTLAND, OR
ZIP 97202
Phone: (503) 819-4285
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DR. Diane Vines, PH.D., R.N., is a psychiatric/mental health registered nurse in Portland, OR. DR. Diane Vines, PH.D., R.N., NPI is 1053643775. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3880 SE 8TH AVE
SUITE 110
PORTLAND, OR
ZIP 97202-772
Phone: (503) 819-4285

The enumeration date for this NPI number is 2/4/2010 and was last updated on 2/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	198331	CALIFORNIA	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	200140577RN	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	198331	OTHER	CALIFORNIA	R.N. LICENSE AND PSYCH NURSE PRACTITIONER INACTIVE
2	200140577RN	OTHER	OREGON	R.N. LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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