Doctor Name: | MRS. KORINNE LYNN MCVEETY |
NPI Number: | 1255488920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 704 |
Business Practice Address: | 1401 N 10th Ave Stayton, OR - 973831311 |
Business Phone Number: | 5037694380 |
Business Fax Number: | 5037698563 |
Mailing Address: | 5225 Tanoak Ave Se, SALEM |
State: | OR |
Postal Code: | 973061607 |
Phone Number: | 5033838095 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 704 |
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 |