MABEL Y DZATA CNM RNP
NPI 1710902952
Nurse Practitioner - Women's Health in Stayton, OR

Active since July 12, 2006
1373 N 10TH AVE, STAYTON, OR 97383(503) 769-9522(503) 769-9530 Get Directions Write a Review

NPPES record last updated: May 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mabel Y Dzata Cnm Rnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MABEL Y DZATA CNM RNP (NPI 1710902952) is an individual women's health provider in Stayton, Oregon, licensed in Oregon (200050056NP NMNP PP) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710902952
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMABEL Y DZATACredential: CNM RNP
Location Address1373 N 10TH AVEStayton, OR 97383-2037
Mailing Address1373 N 10th AveStayton, OR 97383-2037 · (503) 769-9522 · Fax (503) 769-9530
Fax(503) 769-9530
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateMay 9, 2013
NPI 1710902952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in OR · 200050056NP NMNP PP
1373 N 10TH AVE, Stayton, OR 97383

Other Identifiers 3

Medicaid000855OR
Medicare PIN159126OR
Medicare UPINP85473OR

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
1373 N 10TH AVE
STAYTON, OR 97383
Obstetrics & Gynecology
1373 N 10TH AVE
STAYTON, OR 97383
Physician Assistant
1373 N 10TH AVE
STAYTON, OR 97383
Clinic/Center (Medical Specialty)
1373 N 10TH AVE
STAYTON, OR 97383
Clinic/Center (Primary Care)
1373 N 10TH AVE
STAYTON, OR 97383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mabel Dzata's NPI number?

The NPI number for Mabel Dzata is 1710902952. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Mabel Dzata located?

Mabel Dzata practices at 1373 N 10th Ave, Stayton, OR 97383. The listed phone number is (503) 769-9522.

What is Mabel Dzata's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Mabel Dzata was last updated on May 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.