Ms Jacqueline Abbott, DRPH, RDN, DOULA | |
1511 Division St Ste 102, Oregon City, OR 97045 | |
(503) 698-3928 | |
(503) 698-4018 |
Full Name | Ms Jacqueline Abbott |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 1511 Division St Ste 102, Oregon 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 |
---|---|---|---|
1477536902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 680 (Oregon) | Secondary |
374J00000X | Doula | (Oregon) | Secondary |
133V00000X | Dietitian, Registered | 715676 (Oregon) | Primary |
Provider Name | Northwest Primary Care Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144319658 PECOS PAC ID: 0244125052 Enrollment ID: O20040219000947 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline Abbott, DRPH, RDN, DOULA 2123 Sylvan Way, West Linn, OR 97068 Ph: (503) 819-8571 | Ms Jacqueline Abbott, DRPH, RDN, DOULA 1511 Division St Ste 102, Oregon City, OR 97045 Ph: (503) 698-3928 |
Sarah Orellana, MPH, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Jill Marie Gordanier, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1508 Division St Ste 15, Oregon City, OR 97045 Phone: 503-692-3750 Fax: 503-691-2324 | |
Tamara Takano, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-656-1631 | |
Jodi Rae Moon, R.D., C.D.E Dietitian Medicare: Accepting Medicare Assignments Practice Location: 519 15th St, Oregon City, OR 97045 Phone: 503-650-6822 Fax: 503-650-6876 | |
Janet G. Mann, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 619 Madison St, Suite 102, Oregon City, OR 97045 Phone: 503-650-3801 Fax: 503-650-7002 | |
Lois Read, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1500 Division St, Oregon City, OR 97045 Phone: 503-723-6532 |