Dianne Marie Denotter, RD, CSG, LD
Dietitian, Registered, Nutrition, Gerontological in Portland, OR. Individual provider (NPI-1).
NPI number1215470331
StatusActive
Last updated in NPPESOct 25, 2019
Details
- NPI
- 1215470331
- Entity type
- Individual (NPI-1)
- Name
- Dianne Marie Denotter
- Credential
- RD, CSG, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2016
- Last updated
- Oct 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1101X | Dietitian, Registered, Nutrition, Gerontological | – | – | Yes |
| 133V00000X | Dietitian, Registered | LD-D-10176117 | OR |
Practice location
13007 Ne Glisan StPortland, OR 97230-2545
Phone 503-215-3484
Mailing address
13007 Ne Glisan StPortland, OR 97230-2545
Phone 503-215-3484
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