LYNNE OLDHAM


Address: 2676 Nw Pickett Ct, Bend, OR 97701-6807
Phone: 5415984179

LYNNE OLDHAM (NPI# 1235161928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1004X Dietitian, Registered
Specialization: Nutrition, Pediatric
653 OR Dietary & Nutritional Service Providers

Office Location

Street Address 2676 NW PICKETT CT
City BEND
State OR
Zip Code 97701-6807

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225100332 Optimal Balance Dietitian, Registered 2676 Nw Pickett Ct, Bend, OR 97701-6807 2006-11-14

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Taxonomy Information

Taxonomy Code 133VN1004X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Pediatric

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City BEND
Zip Code 97701

Improve Information

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Dataset Information

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.

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