Stave, Victoria

Stave, Victoria is an individual health care provider with primary practice located at 1200 Hilyard St Suite 550, Eugene OR 97401-8122. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Stave, Victoria can be contacted via phone (541) 686-7029.

Contact Information

Primary practice address
1200 Hilyard St Suite 550 Eugene OR 97401-8122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 550 Oregon

Profile Details

NPI number 1477581114
LBN Legal business name Stave, Victoria
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 5th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477581114 NPPES
Oregon MEDICAID 100234

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