Doctor Name: | MRS. JORDANN LINDSAY KEARNS |
NPI Number: | 1225289093 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDN, LD |
License Number: | 795 |
Business Practice Address: | 1919 Sw Nebraska Street Portland, OR - 97239 |
Business Phone Number: | 9712389375 |
Business Fax Number: | 5032162717 |
Mailing Address: | 1919 Sw Nebraska Street, PORTLAND |
State: | OR |
Postal Code: | 97239 |
Phone Number: | 9712389375 |
Fax Number: | 5032238059 |
NPI Enumeration Date: | 10/09/2008 |
NPI Last Update Date: | 01/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |