Richardson, Breanna Nicole

Richardson, Breanna Nicole is an individual health care provider with primary practice located at 500 Sw Ramsey Ave , Grants Pass OR 97527-5554. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Richardson, Breanna Nicole can be contacted via phone (541) 472-7120.

Contact Information

Primary practice address
500 Sw Ramsey Ave Grants Pass OR 97527-5554
Phone: (541) 472-7120
Fax: (541) 472-7123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-10159157 Oregon
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LD-D-10159157 Oregon
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X LD-D-10159157 Oregon
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X LD-D-10159157 Oregon

Profile Details

NPI number 1407306871
LBN Legal business name Richardson, Breanna Nicole
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated Oct 10th, 2016 - about 8 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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