Gram, Kirsten
Gram, Kirsten is an individual health care provider with primary practice located at 2650 Suzanne Way Ste 200 , Eugene OR 97408-7619. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Gram, Kirsten can be contacted via phone (541) 228-3022.Contact Information
Primary practice address
2650 Suzanne Way Ste 200
Eugene OR 97408-7619
Phone: (541) 228-3022
Fax: (541) 228-3181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 140 | Oregon |
Profile Details
| NPI number | 1891719928 |
|---|---|
| LBN Legal business name | Gram, Kirsten |
| Credentials | RD,LD,CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891719928 | NPPES |
| Oregon | Other | 16751 | REGISTERED DIETITIAN |
| Oregon | Other | 0902-9189 | REGISTERED DIETITIAN |
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