Provider Demographics
NPI:1669665345
Name:ALMY, DIANA KAY (MN- FNP)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:KAY
Last Name:ALMY
Suffix:
Gender:F
Credentials:MN- FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92900
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97292-0900
Mailing Address - Country:US
Mailing Address - Phone:503-251-6292
Mailing Address - Fax:503-697-0906
Practice Address - Street 1:417 SE 164TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-8944
Practice Address - Country:US
Practice Address - Phone:360-896-6944
Practice Address - Fax:360-254-2894
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200750121NP363LF0000X
WAAP60811869363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily