| Carole L Matiaco, RD, LD | |
|
15895 Sw 72nd Ave, Suite 250 Bldg B, Tigard, OR 97224-7977 | |
| (503) 624-5630 | |
| (503) 624-9149 |
| Full Name | Carole L Matiaco |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 15895 Sw 72nd Ave, Tigard, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700149580 | NPI | - | NPPES |
| 5000662380 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000965 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carole L Matiaco, RD, LD 15895 Sw 72nd Ave, Suite 250, Tigard, OR 97224-7977 Ph: (503) 624-5630 | Carole L Matiaco, RD, LD 15895 Sw 72nd Ave, Suite 250 Bldg B, Tigard, OR 97224-7977 Ph: (503) 624-5630 |
Connie L Liakos, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7150 Sw Dartmouth St., Tigard, OR 97223 Phone: 503-968-3480 Fax: 503-227-4589 | |
Jessica Lynn Felly, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7358 Sw Durham Rd, Tigard, OR 97224 Phone: 503-628-9241 | |
Karina Ann Inouye, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13804 Sw Anna Ct, Tigard, OR 97223 Phone: 541-521-2271 |