| Doctor Name: | MS. JACQUELINE ABBOTT |
| NPI Number: | 1477536902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DR PH, RD, LD |
| License Number: | 680 |
| Business Practice Address: | 12360 Se Sunnyside Rd Clackamas, OR - 970159320 |
| Business Phone Number: | 5036983928 |
| Business Fax Number: | 5036984018 |
| Mailing Address: | Po Box 22075, MILWAUKIE |
| State: | OR |
| Postal Code: | 972692075 |
| Phone Number: | 5036594777 |
| Fax Number: | 5036525223 |
| NPI Enumeration Date: | 11/29/2005 |
| NPI Last Update Date: | 10/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 680 |
| 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 |