Provider Demographics
NPI:1194446708
Name:DIAMOND, ALISSA JANE (CRM II)
Entity type:Individual
Prefix:
First Name:ALISSA
Middle Name:JANE
Last Name:DIAMOND
Suffix:
Gender:F
Credentials:CRM II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 NE CADEN AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7249
Mailing Address - Country:US
Mailing Address - Phone:503-523-8644
Mailing Address - Fax:
Practice Address - Street 1:2725 SW CEDAR HILLS BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1416
Practice Address - Country:US
Practice Address - Phone:503-523-8644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist