NPI age
19 years
Enumerated 2007-01-03
Across 505 active dietitian, registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | D-1243 | ID STATE BOARD OF MEDICINE |
| 01 (OR) | 608 | OR BOARD OF LICENSED RD'S |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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