Gillingham, Simone

Gillingham, Simone is an individual health care provider with primary practice located at 8495 Crater Lake Hwy Mail Stop 10, White City OR 97503-3011. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gillingham, Simone can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy Mail Stop 10 White City OR 97503-3011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LDD10153903 Oregon

Profile Details

NPI number 1942619465
LBN Legal business name Gillingham, Simone
Credentials RD, LD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2014
Last updated Aug 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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