NPI 1134613110

Maddison Marie Greaves, MSRD

Practitioner Registered Dietitian Corvallis, OR

Practice location

Address: 3680 NW Samaritan Dr, Corvallis, OR 97330-3737
Phone: (541) 766-2180
Mailing address: 444 NW Elks Dr, Corvallis, OR 97330-3758

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 10189879 (OR)

Other Dietitian, Registered providers in Oregon →

Registry record

NPI: 1134613110
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2018
Record last updated: 21 Jun 2018

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.