Doctor Name: | MRS. TAIGA B SUDAKIN |
NPI Number: | 1275522989 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 414 |
Business Practice Address: | 310 Nw 5th St Ste107 Corvallis, OR - 973304842 |
Business Phone Number: | 5417536555 |
Business Fax Number: | |
Mailing Address: | 310 Nw 5th St, Ste107 CORVALLIS |
State: | OR |
Postal Code: | 973304842 |
Phone Number: | 5417536555 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 414 |
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 |