LYNNE OLDHAM (NPI# 1235161928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235161928 |
Entity Type | Individual |
Full Name | LYNNE OLDHAM |
Credential | PHD, RD, CDE, CHES |
Practice Address |
2676 Nw Pickett Ct Bend OR 97701-6807 |
Practice Telephone | 5415984179 |
Practice Fax Number | 5413889261 |
Mailing Telephone | 5415984179 |
Mailing Fax Number | 5413889261 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1004X |
Dietitian, Registered Specialization: Nutrition, Pediatric |
653 | OR | Dietary & Nutritional Service Providers |
Street Address |
2676 NW PICKETT CT |
City | BEND |
State | OR |
Zip Code | 97701-6807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225100332 | Optimal Balance | Dietitian, Registered | 2676 Nw Pickett Ct, Bend, OR 97701-6807 | 2006-11-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
Find all providers in zip 97701 |
Taxonomy Code | 133VN1004X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Pediatric |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326069287 | Lori Suzanne Brizee | Dietitian, Registered | 516 Sw 13th St, Ste 101, Bend, OR 97702-3442 | 2006-07-23 |
1740889781 | Georgia Elizabeth Brown | Dietitian, Registered | 2200 Ne Professional Ct, Bend, OR 97701-6063 | 2020-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164832713 | Jennifer Nickell | Dietitian, Registered | 9307 Sw 51st Ave, Portland, OR 97219-5118 | 2014-05-05 |
1700070620 | Inge Daeschel | Dietitian, Registered | 523 Se Washington Street, Dallas, OR 97338-2834 | 2007-09-04 |
1932743127 | Sarah Virginia Lowe | Dietitian, Registered | 3101 Sw Sam Jackson Park Rd, Portland, OR 97239-3095 | 2019-10-31 |
1881244135 | Mallory Soares | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-09-18 |
1760045793 | Melody Wilson Acosta | Dietitian, Registered | 811 13th St, Hood River, OR 97031-1204 | 2019-04-16 |
1144705674 | Denise Crowley | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-10-01 |
1114414646 | Andrea Lyddane | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-19 |
1629597935 | Paige Wollenzien | Dietitian, Registered | 830 Ne 47th Ave, Portland, OR 97213-2212 | 2017-09-18 |
1033651328 | Betty Katherine Casto Hynes | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-11-17 |
1982154043 | Mindy Smith | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2016-10-12 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.