Nitzschia perminuta valves are wider and possess a central nodule.
Nitzschia fonticola 
valves are more lanceolate.
Nitzschia romana has a higher stria density. 

LM scalebar = 10 µm
Length Range
15-42 µm
Width Range
3 µm
Striae in 10 µm
23-25
Nitzschia oregona LM1
Nitzschia oregona LM3
Nitzschia oregona LM2
Nitzschia oregona LM5
Nitzschia oregona LM4
Nitzschia oregona LM1 Nitzschia oregona LM3 Nitzschia oregona LM2 Nitzschia oregona LM5 Nitzschia oregona LM4

Nitzschia perminuta

(Grunow in Van Heurck) H.Perag. 1903

Length Range
8-20 µm
Width Range
3-4 µm
Striae in 10 µm
22-27
Nitzschia perminuta LM1 Nitzschia perminuta LM5 Nitzschia perminuta LM4 Nitzschia perminuta LM3 Nitzschia perminuta LM2

Nitzschia fonticola

(Grunow) Grunow in Van Heurck 1881

Length Range
10-55 µm
Width Range
2.5-4.5 µm
Striae in 10 µm
24-27
Fonticola 001 Fonticola 004 Fonticola 002 Fonticola 011 Fonticola 005 Fonticola 003 Fonticola 007

Also compare to

Nitzschia romana

Grunow