ELIZABETH JEAN DIETRICH PA
NPI 1811056633
Physician Assistant - Medical in Florence, OR

Q: What is Elizabeth Dietrich's NPI number?

The NPI number for Elizabeth Dietrich is 1811056633. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Q: What is Elizabeth Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since December 07, 2006

340 9TH ST, FLORENCE, OR 97439(541) 902-1634(541) 902-9702 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elizabeth Jean Dietrich Pa NPPES

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

ELIZABETH JEAN DIETRICH PA (NPI 1811056633) is an individual medical provider in Florence, Oregon, licensed in Oregon (PA01118) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1811056633

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELIZABETH JEAN DIETRICHCredential: PA

Location Address340 9TH STFlorence, OR 97439-9470

Mailing AddressPo Box 24410Eugene, OR 97402-0451 · (541) 984-4301

Phone(541) 902-1634

Fax(541) 902-9702

Sole ProprietorNo

Enumeration DateDecember 7, 2006

Last NPPES UpdateNovember 29, 2012

✔ NPI 1811056633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in OR · PA01118

340 9TH ST, Florence, OR 97439

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Other Identifiers 5

Other200540762RNOR · Or State Board Of Nursing

Medicare UPINR02181

OtherPA01118OR · Obme License

Medicare PINR137943OR

Medicaid500632421OR

Other Providers at the Same Location NPPES 6

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

MARK DANIELS PCNP

Nurse Practitioner (Psychiatric/Mental Health)

340 9TH ST
FLORENCE, OR 97439

Lane County (541) 902-1634

CHARLES ANTHONY SALTALAMACCHIA M.D.

Obstetrics & Gynecology

340 9TH ST
FLORENCE, OR 97439

Lane County (541) 902-1634

BARBARA C ANDERSON FNP

Nurse Practitioner (Family)

340 9TH ST
FLORENCE, OR 97439

Lane County (541) 997-7134

DR. GINA SIMONE WILSON M.D. ( MEDICAL DOCTO

Obstetrics & Gynecology

340 9TH ST
FLORENCE, OR 97439

Lane County (541) 902-1634

MS. EMILY S DOWNING - MOORE CNM, NP

Nurse Practitioner (Obstetrics & Gynecology)

340 9TH ST
FLORENCE, OR 97439

Lane County (541) 293-5149

MS. SARAH ANN ZIMMERMAN CNP

Nurse Practitioner (Psychiatric/Mental Health)

340 9TH ST
FLORENCE, OR 97439

Lane County (541) 997-6085

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 Elizabeth Dietrich's NPI number?

The NPI number for Elizabeth Dietrich is 1811056633. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Elizabeth Dietrich located?

Elizabeth Dietrich practices at 340 9th St, Florence, OR 97439. The listed phone number is (541) 902-1634.

What is Elizabeth Dietrich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Elizabeth Dietrich was last updated on November 29, 2012. 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.