Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dianne C Eardley, MD

Individual provider Internal Medicine Physician · NPI 1740210434

Dianne C Eardley, MD is an Internal Medicine in Portland, Oregon. Qualified in 1984, 42 years ago. Licensed in Oregon.

Years since qualifying
42
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

417 SW 117th Ave 2nd Fl
Portland, OR 97225-5924
Phone: (503) 216-9400
Fax: (503) 216-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD18802 (OR)

Record details

NPI number1740210434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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