Moon, Jodi Rae

Moon, Jodi Rae is an individual health care provider with primary practice located at 519 15Th St , Oregon City OR 97045-1448. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Moon, Jodi Rae can be contacted via phone (503) 650-6822.

Contact Information

Primary practice address
519 15Th St Oregon City OR 97045-1448
Phone: (503) 650-6822
Fax: (503) 650-6876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 674 Oregon

Profile Details

NPI number 1679891501
LBN Legal business name Moon, Jodi Rae
Credentials R.D., C.D.E
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2010
Last updated May 17th, 2010 - about 15 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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