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Contact Information

ALICIA EVANS, RD, LD, CSR
665 N 5TH ST
LEBANON, OR97355-2875
 Phone: 541-258-3012
 Fax: 541-258-3331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ALICIA EVANS · (Female)

NPI # 1790592962
Status Active
Credentials RD, LD, CSR
Entity Individual
Enumeration date 12/11/2024
Last updated 12/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # LD-D-10194677
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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