| Jennifer Burnett, RDN | |
|
3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 | |
| (541) 768-4663 | |
| Not Available |
| Full Name | Jennifer Burnett |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 3600 Nw Samaritan Dr, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720619646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86084202 (* (Not Available)) | Primary |
| Provider Name | The Queens Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487693586 PECOS PAC ID: 3476454067 Enrollment ID: O20040116000366 |
| Provider Name | Primary Care Physician Enterprise Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164054763 PECOS PAC ID: 0244661338 Enrollment ID: O20200505000681 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Burnett, RDN 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: () - | Jennifer Burnett, RDN 3600 Nw Samaritan Dr, Corvallis, OR 97330-3737 Ph: (541) 768-4663 |
Ms. Laura Luczkiw, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Raye Maudlin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3517 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-6429 Fax: 541-768-6514 | |
Lauren Paciulla, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3600 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-768-4663 | |
Madison Nicole Delmendo, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150 | |
Dr. Therese Storino Waterhous, RD, LD, PHD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 744 Nw 4th St, Corvallis, OR 97330 Phone: 541-207-7205 Fax: 877-840-1725 | |
Maddison Marie Greaves, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-766-2180 | |