Jennifer Deboer Roark in Portland - Dietitian, Registered
Jennifer Deboer Roark - NPI 1619008190
Jennifer Deboer Roark is a Dietitian, Registered in Portland, Oregon. Jennifer Deboer Roark practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jennifer Deboer Roark is 1619008190. The last update date is 2007-07-08.
Jennifer Deboer Roark's current location address is 800 Sw 13th Ave, Portland, Oregon. You can contact this provider via phone number 5032210161 and fax number 5032214451. The mailing address for Jennifer Deboer Roark is 800 Sw 13th Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Deboer Roark |
|---|---|
| Address | 800 Sw 13th Ave, Portland, Oregon |
| Phone Number | 5032210161 |
| Fax Number | 5032214451 |
| Sole Proprietor | N |
| Credentials | RD LD |
NPI Number Detail
| NPI Number | 1619008190 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 800 Sw 13th Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97205 |
| Phone Number | 5032210161 |
| Fax Number | 5032214451 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 733 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Jennifer Deboer Roark by the Centers for Medicare & Medicaid Services?
The Jennifer Deboer Roark has been assigned the NPI (National Provider Identifier) 1619008190. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer Deboer Roark is located?
The Jennifer Deboer Roark is situated at the following address: 800 Sw 13Th Ave, Portland, OR, 97205.
What is the area of specialization for Jennifer Deboer Roark, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Deboer Roark is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 133V00000X.
On what date was the 1619008190 assigned to Jennifer Deboer Roark?
The Jennifer Deboer Roark was issued its 1619008190 on 2007-03-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jennifer Deboer Roark's details last updated?
The information pertaining to the Jennifer Deboer Roark, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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