NPI 1912275009

Kendra J Madsen

Practitioner Registered Dietetic Technician Corvallis, OR

Practice location

Address: 3517 NW Samaritan Dr STE 200, Corvallis, OR 97330-3767
Phone: (541) 768-6429
Fax: (541) 768-6514

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 000900 (OR)

Other Dietetic Technician, Registered providers in Oregon →

Registry record

NPI: 1912275009
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2011
Record last updated: 5 Dec 2011

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.