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Contact Information

DIANNE M DENOTTER, RD, CSG, LD
13007 NE GLISAN ST
PORTLAND, OR97230-2545
 Phone: 503-215-3484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Gerontological

133VN1101X 71 Registered Dietitian or Nutrition Professional
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for DIANNE M DENOTTER · (Female)

NPI # 1215470331
Status Active
Credentials RD, CSG, LD
Entity Individual
Enumeration date 11/21/2016
Last updated 10/25/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # LD-D-10176117
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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