| Jesse Ray Hall, MS, RDN, CD | |
|
5940 Ulali Dr Ne, Keizer, OR 97303-1500 | |
| (503) 304-5738 | |
| (503) 304-5725 |
| Full Name | Jesse Ray Hall |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 5940 Ulali Dr Ne, Keizer, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588068522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DI60506429 (Washington) | Secondary |
| 133V00000X | Dietitian, Registered | 10179690 (Oregon) | Primary |
| Provider Name | Apple Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902808470 PECOS PAC ID: 7810892072 Enrollment ID: O20031202000184 |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Ray Hall, MS, RDN, CD 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (503) 304-5738 | Jesse Ray Hall, MS, RDN, CD 5940 Ulali Dr Ne, Keizer, OR 97303-1500 Ph: (503) 304-5738 |
Stephanie Keyte, MS, RDN, LD, CLT Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5305 River Rd N Ste B, Keizer, OR 97303 Phone: 541-385-6111 | |
Damzil Nutrition Counseling, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3795 River Rd N Ste D, Keizer, OR 97303 Phone: 503-457-4923 Fax: 503-376-6714 | |
Mrs. Lizette Marie Dubay Courtney, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3795 River Rd N Ste D, Keizer, OR 97303 Phone: 503-457-4923 Fax: 503-376-6714 | |
Oregon Wellness Network Llc Dietitian Medicare: Medicare Enrolled Practice Location: 3410 Cherry Ave Ne, Keizer, OR 97303 Phone: 503-304-3655 | |
Dietitian Support Services Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3675 River Rd N Ste 103, Keizer, OR 97303 Phone: 224-623-3330 | |
Katherine Olson, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 5685 Inland Shores Way N, Keizer, OR 97303 Phone: 503-873-1619 |