Keelie Korsness, MSC, RDN, LD | |
260 Sw Madison Ave Ste 109, Corvallis, OR 97333-4728 | |
(545) 190-8731 | |
Not Available |
Full Name | Keelie Korsness |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 260 Sw Madison Ave Ste 109, Corvallis, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912546177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD-D-10192004 (Oregon) | Secondary |
133V00000X | Dietitian, Registered | 86017100 (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Keelie Korsness, MSC, RDN, LD 26760 Fudge Rd, Alsea, OR 97324-9412 Ph: () - | Keelie Korsness, MSC, RDN, LD 260 Sw Madison Ave Ste 109, Corvallis, OR 97333-4728 Ph: (545) 190-8731 |
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