IndividualActive
Elizabeth Dietrich, PA
NPI 1811056633 · Medical Physician Assistant · Florence, OR
Provider details
- NPI number
- 1811056633
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA01118 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
340 9th St
Florence, OR 97439-9470
Phone: (541) 902-1634
Fax: (541) 902-9702
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 24410
Eugene, OR 97402-0451
Registry dates
- Enumerated
- 2006-12-07
- Last updated
- 2012-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.