Khimberly Rose Schoenacker in Portland - Dietitian, Registered

Khimberly Rose Schoenacker - NPI 1457568925

Khimberly Rose Schoenacker is a Dietitian, Registered in Portland, Oregon. Khimberly Rose Schoenacker practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Khimberly Rose Schoenacker is 1457568925. The last update date is 2010-10-13.

Khimberly Rose Schoenacker's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034185257 and fax number 5034185317. The mailing address for Khimberly Rose Schoenacker is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Khimberly Rose Schoenacker
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034185257
Fax Number 5034185317
Sole Proprietor N
Credentials RD, CSP, L

NPI Number Detail

NPI Number 1457568925
Provider Enumeration Date 2007-05-16
Last Updated Date 2010-10-13

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393098
Phone Number 5034185257
Fax Number 5034185317

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
957173 CA ADA REGISTRATION NUMBER

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FAQs about Khimberly Rose Schoenacker

What is the unique identifier code issued to Khimberly Rose Schoenacker by the Centers for Medicare & Medicaid Services?

The Khimberly Rose Schoenacker has been assigned the NPI (National Provider Identifier) 1457568925. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Khimberly Rose Schoenacker's facilities are situated?

The facilities of Khimberly Rose Schoenacker are physically located at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972393098.

What is Khimberly Rose Schoenacker's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Khimberly Rose Schoenacker's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

When did the Khimberly Rose Schoenacker receive its 1457568925?

The Khimberly Rose Schoenacker was issued its 1457568925 on 2007-05-16, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Khimberly Rose Schoenacker most recently updated or revised?

The information pertaining to Khimberly Rose Schoenacker, including its address, specialty, and other relevant details, was last updated or revised on 2010-10-13.

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