Denise R Cedar, RD, CDE
Individual provider Active NPI Registered Dietitian · Silverton, OR
NPI 1306904446 · NPPES record last updated Apr 24, 2012
Key facts
- NPI
- 1306904446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 170 (OR)
- Practice address
- 342 Fairview St
Silverton Hospital--Phelps Annex
Silverton, OR 97381-1917 - Phone
- (503) 873-1560
- Fax
- (503) 874-2483
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Clark Medical Group LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 170 | OR | Yes |
Addresses
Primary practice location
342 Fairview St
Silverton Hospital--Phelps Annex
Silverton, OR 97381-1917
Mailing address
342 Fairview St
Silverton Hospital--Phelps Annex
Silverton, OR 97381-1917
Phone (503) 873-1560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 711758 | Other | OR | REGISTERED DIETITIAN REGISTRATION NUMBER |
| 170 | Other | OR | OREGON LICENSED DIETITIAN |
| 711758 | Other | OR | RD REGISTRATION NUMBER |
Other providers in Silverton, OR
- Thea Danielle Buckingham
- Nadya Cam
- Capitol Physical & Hand Therapy II
- Colleen Anne Carris
- Sarah Zollner Case
- Matthew Chase
- Erling Y Chavez
- Robert William Chisholm
- Kendall Christensen
- Kari A. Cline
All providers in Silverton, 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 Apr 24, 2012. 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.