Tracy R Severson in Portland - Dietitian, Registered
Tracy R Severson - NPI 1588869747
Tracy R Severson is a Dietitian, Registered in Portland, Oregon. Tracy R Severson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Tracy R Severson is 1588869747. The last update date is 2011-03-10.
Tracy R Severson's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034946160 and fax number 5034943769. The mailing address for Tracy R Severson is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy R Severson |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034946160 |
| Fax Number | 5034943769 |
| Sole Proprietor | Y |
| Credentials | R.D., L.D. |
NPI Number Detail
| NPI Number | 1588869747 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2011-03-10 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034946160 |
| Fax Number | 5034943769 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
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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 10-digit identification code issued to Tracy R Severson by the Centers for Medicare & Medicaid Services?
The Tracy R Severson has been assigned the NPI (National Provider Identifier) 1588869747 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Tracy R Severson is physically located?
The Tracy R Severson is situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is Tracy R Severson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracy R Severson is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.
On what date did Tracy R Severson receive its 1588869747 assignment from the Centers for Medicare & Medicaid Services?
The Tracy R Severson was assigned its 1588869747 on 2007-06-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Tracy R Severson's details last updated?
The information pertaining to the Tracy R Severson, including its address, specialty, and other details, was most recently updated on 2011-03-10.
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