Meredith A Radke in Portland - Dietitian, Registered
Meredith A Radke - NPI 1629254628
Meredith A Radke is a Dietitian, Registered in Portland, Oregon. Meredith A Radke practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Meredith A Radke is 1629254628. The last update date is 2008-01-21.
Meredith A Radke's current location address is 5627 Se 62nd Ave, Portland, Oregon. You can contact this provider via phone number 3605144268 and fax number 3605143590. The mailing address for Meredith A Radke is 5627 Se 62nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Meredith A Radke |
|---|---|
| Address | 5627 Se 62nd Ave, Portland, Oregon |
| Phone Number | 3605144268 |
| Fax Number | 3605143590 |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1629254628 |
|---|---|
| Provider Enumeration Date | 2008-01-21 |
| Last Updated Date | 2008-01-21 |
Provider Mailing Address Detail
| Address | 5627 Se 62nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972065411 |
| Phone Number | 3605144268 |
| Fax Number | 3605143590 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | DI00001776 |
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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 Meredith A Radke by the Centers for Medicare & Medicaid Services?
The Meredith A Radke has been assigned the NPI (National Provider Identifier) 1629254628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Meredith A Radke's physical address?
The Meredith A Radke is physically located at 5627 Se 62Nd Ave, in the city of Portland, OR, with the postal code 972065411.
What is Meredith A Radke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Meredith A Radke is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1629254628 to Meredith A Radke?
The Centers for Medicare & Medicaid Services assigned the 1629254628 to Meredith A Radke on 2008-01-21.
When was the information regarding Meredith A Radke most recently updated?
The details pertaining to the Meredith A Radke, including its address, specialty, and other relevant information, were last refreshed on 2008-01-21.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY