Melissa Ortiz, RD | |
1835 W 13th Ave, Junction City, OR 97448-1115 | |
(541) 936-2656 | |
Not Available |
Full Name | Melissa Ortiz |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1835 W 13th Ave, Junction City, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982009742 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD-D-10227843 (Oregon) | Primary |
Provider Name | My Diabetes Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730957150 PECOS PAC ID: 1355789462 Enrollment ID: O20240409003406 |
Mailing Address | Practice Location Address |
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Melissa Ortiz, RD 1835 W 13th Ave, Junction City, OR 97448-1115 Ph: (541) 936-2656 | Melissa Ortiz, RD 1835 W 13th Ave, Junction City, OR 97448-1115 Ph: (541) 936-2656 |
Amanda Silacci, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29398 Recovery Way, Junction City, OR 97448 Phone: 541-465-2554 | |
Jeri Croucher, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 29398 Recovery Way, Junction City, OR 97448 Phone: 541-465-3049 | |
My Diabetes Nutrition, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1835 W 13th Ave, Junction City, OR 97448 Phone: 541-936-2656 |