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MAMIE D DIAZ PA
NPI 1942206586
Physician Assistant in Sherwood, OR

Active since June 27, 2005
16770 SW EDY RD, SUITE 102, SHERWOOD, OR 97140(503) 215-9600(678) 741-2301 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mamie D Diaz Pa NPPES

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

MAMIE D DIAZ PA (NPI 1942206586) is an individual physician assistant in Sherwood, Oregon, licensed in Oregon (PA00713) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1942206586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAMIE D DIAZCredential: PA
Location Address16770 SW EDY RD, SUITE 102Sherwood, OR 97140-9679
Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Phone(503) 215-9600
Fax(678) 741-2301
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 12, 2012
✔ NPI 1942206586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OR · PA00713
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA00713 (OR)
16770 SW EDY RD, Sherwood, OR 97140
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Other Names 1

Former Name (1)Mamie D Fredrickson Pa

Other Identifiers 4

Medicare PIN106865OR
Medicare UPINP38281
Medicaid500604464OR
Medicare UPINP38281OR

Other Providers at the Same Location NPPES 20

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

PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Washington County (503) 216-9600
CHERYL CATHERINE PIERSON M.D.
Family Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Washington County (503) 216-9600
BRIAN RIOS DPT
Physical Therapist
16770 SW EDY RD
SHERWOOD, OR 97140
Washington County (503) 216-9600
PROVIDENCE HEALTH & SERVICES - OREGON
Internal Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Washington County (503) 216-9600
YAMA A DEHQANZADA DPM PC
Clinic/Center (Podiatric)
16770 SW EDY RD, SUITE 216
SHERWOOD, OR 97140
Washington County (503) 925-8120
PATRICIA K TRUHN ANP
Nurse Practitioner
16770 SW EDY RD
SHERWOOD, OR 97140
Washington County (503) 216-9600
DR. PATRICIA EDEN FERNANDEZ MILLAN M.D.
Family Medicine
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 97140
Washington County (503) 216-9600
ALMA SOPHIA DRAPER MSN-FNP
Nurse Practitioner (Family)
16770 SW EDY RD
SHERWOOD, OR 97140
Washington County (503) 216-9600

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 Mamie Diaz's NPI number?

The NPI number for Mamie Diaz is 1942206586. It was assigned to this individual provider in the NPPES registry on June 27, 2005. The provider is also known as Mamie D Fredrickson PA.

Where is Mamie Diaz located?

Mamie Diaz practices at 16770 SW Edy Rd Suite 102, Sherwood, OR 97140. The listed phone number is (503) 215-9600.

What is Mamie Diaz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mamie Diaz was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.