Mrs Jacqueline Marie Mular, MS, RD, LMFT is a
Dietitian, Registered based in Portland, Oregon. Mrs Jacqueline Marie Mular is licensed to practice in Oregon (license number 10175520) and her current practice location is
5550 Sw Macadam Suite 100, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(323) 496-5552.
NPI number for Mrs Jacqueline Marie Mular is 1508335704 and her current mailing address is 4 Touchstone #155, Lake Oswego, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508335704.
Healthcare Provider's Profile
Full Name | Mrs Jacqueline Marie Mular |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 5550 Sw Macadam Suite 100, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508335704
- Provider Enumeration Date: 11/16/2018
- Last Update Date: 11/16/2018
Medical Identifiers
Medical identifiers for Mrs Jacqueline Marie Mular such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508335704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | T1459 (Oregon) | Secondary |
133V00000X | Dietitian, Registered | 10175520 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Marie Mular is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jacqueline Marie Mular, MS, RD, LMFT 4 Touchstone #155, Lake Oswego, OR 97035 Ph: (323) 496-5552 | Mrs Jacqueline Marie Mular, MS, RD, LMFT 5550 Sw Macadam Suite 100, Portland, OR 97239 Ph: (323) 496-5552 |
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