Ms Dulcinea Marie Childs, RD, LD | |
825 Ne 20th Ave Ste 340, Portland, OR 97232-2275 | |
(503) 227-5050 | |
Not Available |
Full Name | Ms Dulcinea Marie Childs |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 825 Ne 20th Ave Ste 340, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356573059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 858 (Oregon) | Primary |
Provider Name | Oregon Weight Loss Surgery Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497760045 PECOS PAC ID: 9931109220 Enrollment ID: O20070110000615 |
Mailing Address | Practice Location Address |
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Ms Dulcinea Marie Childs, RD, LD 825 Ne 20th Ave Ste 340, Portland, OR 97232-2275 Ph: (503) 227-5050 | Ms Dulcinea Marie Childs, RD, LD 825 Ne 20th Ave Ste 340, Portland, OR 97232-2275 Ph: (503) 227-5050 |
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Mrs. April D Mitsch, RD Dietitian Medicare: Medicare Enrolled Practice Location: 700 Sw Campus Dr, Portland, OR 97239 Phone: 503-494-8362 Fax: 503-494-4447 | |
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Jennifer Christine Kainani Ching, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3530 Se 88th Ave, Portland, OR 97266 Phone: 503-772-4335 Fax: 503-772-4337 | |
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