Thomas Bosch, PHD, RDN, LDN
Individual provider Active NPI Registered Dietitian · Eugene, OR
NPI 1972056562 · NPPES record last updated Jul 29, 2016
Key facts
- NPI
- 1972056562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 10177915 (OR)
- Practice address
- 2455 Fieldcress Rd
Eugene, OR 97403-3255 - Phone
- (541) 505-7758
- Fax
- (541) 505-7758
- NPI assigned
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10177915 | OR | MD | Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 10177915 | OR | |
| Nutrition Education Nutritionist | 133NN1002X | 10177915 | OR | |
| Registered Dietitian | 133V00000X | 10177915 | OR | Yes |
Addresses
Primary practice location
2455 Fieldcress Rd
Eugene, OR 97403-3255
Mailing address
2455 Fieldcress Rd
Eugene, OR 97403-3255
Phone (541) 505-7758
Other providers in Eugene, OR
- Benjamin Boriskin
- Cassandra Mae Borquist
- Sandra Borrelli
- Daniel A Borrero
- Bosch Nutrition LLC
- Carole Elizabeth Boshart
- Alexis Boson
- Lajeana Boss
- Pauline Odofole Botchway
- Leon Zero Bote
All providers in Eugene, 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 Jul 29, 2016. 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.