Jennifer Zimmerman, RD, CDCES
Dietitian, Registered in The Dalles, OR. Individual provider (NPI-1).
NPI number1265057772
StatusActive
Last updated in NPPESJun 10, 2020
Details
- NPI
- 1265057772
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Zimmerman
- Credential
- RD, CDCES
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2020
- Certification date
- Jun 10, 2020
- Last updated
- Jun 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
551 Lone Pine BlvdThe Dalles, OR 97058-9403
Phone 541-296-1111
Mailing address
Po Box 1580The Dalles, OR 97058-8004
Phone 541-296-1111
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