NPI 1063057305

Madison Nicole Delmendo, RD

Practitioner Registered Dietitian Corvallis, OR

Practice location

Address: 3680 NW Samaritan Dr, Corvallis, OR 97330-3737
Phone: (541) 754-1150
Mailing address: 444 NW Elks Dr, Corvallis, OR 97330-3758

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1020690110 (OR)

Other Dietitian, Registered providers in Oregon →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 86131107 (OR)

Registry record

NPI: 1063057305
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Nov 2019
Record last updated: 12 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.