Doctor Name: | JODI RAE MOON |
NPI Number: | 1679891501 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D.E |
License Number: | 674 |
Business Practice Address: | 519 15th St Oregon City, OR - 970451448 |
Business Phone Number: | 5036506822 |
Business Fax Number: | 5036506876 |
Mailing Address: | 519 15th St, OREGON CITY |
State: | OR |
Postal Code: | 970451448 |
Phone Number: | 5036506822 |
Fax Number: | 5036506876 |
NPI Enumeration Date: | 05/17/2010 |
NPI Last Update Date: | 05/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 674 |
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 |