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Contact Information

JILLIAN D BLISS, RD, LD
5211 NE GLISAN ST BLDG C
PORTLAND, OR97213
 Phone: 503-215-6628
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for JILLIAN D BLISS · (Female)

NPI Number 1922481654
Status Active
Credentials RD, LD
Entity Individual
Enumeration date 06/30/2015
Last updated 08/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # LD-D-000877
  • OR Medicaid 500734039
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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