Ms Jessica Wilson, RD | |
2650 Suzanne Way Ste 200, Eugene, OR 97408-7619 | |
(541) 228-3020 | |
Not Available |
Full Name | Ms Jessica Wilson |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2650 Suzanne Way Ste 200, Eugene, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992822316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 962666 (Oregon) | Secondary |
133V00000X | Dietitian, Registered | 962666 (California) | Primary |
Provider Name | Lyon-martin Community Health Services |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588238497 PECOS PAC ID: 6103203930 Enrollment ID: O20220518000036 |
Mailing Address | Practice Location Address |
---|---|
Ms Jessica Wilson, RD 650 W 12th Ave Apt 227, Eugene, OR 97402-4087 Ph: (541) 228-3020 | Ms Jessica Wilson, RD 2650 Suzanne Way Ste 200, Eugene, OR 97408-7619 Ph: (541) 228-3020 |
Kari Cox, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8300 Fax: 541-242-8303 | |
Marquis Edjuan Scurlock, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1150 Darlene Ln Apt 293, Eugene, OR 97401 Phone: 601-842-6748 | |
Ms. Claire Elizabeth Corson, M.S., RD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 735 E 17th Ave Apt 37, Eugene, OR 97401 Phone: 321-205-6603 | |
Holly Rae St.lawrence, NTP, CPT, CFG Dietitian Medicare: Not Enrolled in Medicare Practice Location: 566 Horn Ln, Eugene, OR 97404 Phone: 541-636-3856 | |
Laura Christensen, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1200 Hilyard St, Eugene, OR 97401 Phone: 541-205-6000 | |
Tracy Beckmann, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2650 Suzanne Way Ste 200, Eugene, OR 97408 Phone: 541-228-3020 Fax: 541-228-3181 | |
Regan Peterson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 296 E 5th Ave Ste 324, Eugene, OR 97401 Phone: 541-556-5646 Fax: 440-556-5642 |