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

MS. Diane E Greenblatt, PAC

Individual provider Physician Assistant · NPI 1649368580

MS. Diane E Greenblatt, PAC is a Physician Assistant in Corvallis, Oregon. Qualified in 1998, 28 years ago. Practices with Salem Health, a 479-clinician group and accepts Medicare assignment. Licensed in New York and Oregon.

Years since qualifying
28
Licensed in
NY, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone: (541) 754-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA161432 (OR)
Physician Assistant Taxonomy 363A00000X · Licence 010648 (NY)

Record details

NPI number1649368580
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025
Mailing address444 Nw Elks Dr, Corvallis, OR 97330-3745

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Salem Health — 479 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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