Dana Bean, RD, LD
Individual provider Active NPI Registered Dietitian · Medford, OR
NPI 1265053722 · NPPES record last updated Aug 13, 2020
Key facts
- NPI
- 1265053722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 10208064 (OR)
- Practice address
- 900 E Main St
Medford, OR 97504-7136 - Phone
- (541) 773-3863
- NPI assigned
- May 6, 2020
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10208064 | OR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10208064 | OR | Yes |
Addresses
Primary practice location
900 E Main St
Medford, OR 97504-7136
Mailing address
900 E Main St
Medford, OR 97504-7136
Phone (541) 773-3863
Other providers in Medford, OR
- Spencer Bayne
- Jody Beach
- Rylie N. Beach
- Crystal Ann Beachler
- Zach Beacom
- Kimberli Lanelle Bean
- Bear Creek Naturopathich Clinic
- Andrea N Bearden
- Crystal Beardsley
- Jennifer Lynn Beaver
All providers in Medford, OR · Registered Dietitian in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.