Joseph Albrecht, RDN

Individual provider Active NPI Registered Dietitian · Roseburg, OR

NPI 1215554209 · NPPES record last updated Jun 25, 2020

Key facts

NPI
1215554209
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86030401 (NY)
Practice address
913 NW Garden Valley Blvd
Roseburg, OR 97471-6523
Phone
(541) 441-1000
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86030401NYMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86030401 NY Yes

Addresses

Primary practice location

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523

Mailing address

2756 NW Edenbower Blvd Apt 14
Roseburg, OR 97471-6257
Phone (516) 214-3602

Other identifiers

IdentifierTypeStateIssuer
009971OtherNYNYS DEPARTMENT OF EDUCATION

Other providers in Roseburg, OR

All providers in Roseburg, OR · Registered Dietitian in Oregon

Sources for this page

Verify at the official NPI Registry.