Jessie Roberta Hann in Portland - Dietitian, Registered

Jessie Roberta Hann - NPI 1104083492

Jessie Roberta Hann is a Dietitian, Registered in Portland, Oregon. Jessie Roberta Hann practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Jessie Roberta Hann is 1104083492. The last update date is 2023-08-02.

Jessie Roberta Hann's current location address is 1700 Ne 102nd Ave, Portland, Oregon. You can contact this provider via phone number 5032504326 and fax number 9712296709. The mailing address for Jessie Roberta Hann is 1700 Ne 102nd Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessie Roberta Hann
Address 1700 Ne 102nd Ave, Portland, Oregon
Phone Number 5032504326
Fax Number 9712296709
Sole Proprietor N
Credentials MS,RD,LD,C

NPI Number Detail

NPI Number 1104083492
Provider Enumeration Date 2008-05-22
Last Updated Date 2023-08-02

Provider Mailing Address Detail

Address 1700 Ne 102nd Ave
City Portland
State Oregon (OR)
Post Code 972203804
Phone Number 5032504326
Fax Number 9712296709

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 461
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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FAQs about Jessie Roberta Hann

What is the unique provider identifier assigned to Jessie Roberta Hann?

The Jessie Roberta Hann has been issued the NPI (National Provider Identifier) 1104083492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Jessie Roberta Hann located?

The Jessie Roberta Hann is located at 1700 Ne 102Nd Ave, Portland, OR 972203804.

What is the Jessie Roberta Hann's specialty and taxonomy code?

The Jessie Roberta Hann's specialty is Dietitian, Registered, and the corresponding taxonomy code is 133V00000X.

On what date did Jessie Roberta Hann receive its 1104083492 assignment from the Centers for Medicare & Medicaid Services?

The Jessie Roberta Hann was assigned its 1104083492 on 2008-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Jessie Roberta Hann most recently updated or refreshed?

The details pertaining to the Jessie Roberta Hann, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-08-02.

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