KOHLEEN E ERVIN (NPI# 1760971246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760971246 |
Entity Type | Individual |
Full Name | KOHLEEN E ERVIN |
Credential | RD, CSR, LD |
Practice Address |
916 Sw 17th St Ste 100 Redmond OR 97756-2572 |
Practice Telephone | 5415482778 |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
LD-D10161414 | OR | Dietary & Nutritional Service Providers |
Street Address |
916 SW 17TH ST STE 100 |
City | REDMOND |
State | OR |
Zip Code | 97756-2572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306943790 | Fresenius Medical Care Dialysis Services-oregon, LLC | Clinic/Center | 916 Sw 17th St Ste 100, Redmond, OR 97756-2572 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659802650 | Paula J. Staab | Dietitian, Registered | 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 | 2017-03-22 |
1811237563 | Jennifer Fritzsche | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2013-02-18 |
1003109042 | Kara Marie Odiaga | Dietitian, Registered | 703 Ne Hancock St, Portland, OR 97212-3955 | 2011-05-24 |
1144547878 | Kay L Harris | Dietitian, Registered | 760 Golf View Dr Unit 200, Medford, OR 97504-9685 | 2010-04-20 |
1417282682 | Lois Amy Tobin | Dietitian, Registered | 6902 Se Lake Rd, Suite 302, Milwaukie, OR 97267-2148 | 2009-10-06 |
1447423132 | Therese L Olsen | Dietitian, Registered | 930 Sw Abbey St, Newport, OR 97365-4820 | 2008-04-02 |
1467593111 | Jessie Pavlinac | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Ohsu - Uhs18, Portland, OR 97239-3011 | 2007-02-08 |
Please comment or provide details below to improve the information on KOHLEEN E ERVIN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.