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Organization
COMPASS NUTRITION, LLC
Active
Organization
COMPASS NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE LYNN BROWN MS RD CSG LD (REGISTERED DIETITIAN)
(541) 905-2567
Entity
Organization
Contact information
Practice address
1290 FENWICK AVENUE, COOS BAY, OR 97420
(541) 905-2567
(541) 393-2981
Mailing address
1290 FENWICK AVENUE, COOS BAY, OR 97420
(541) 905-2567
(541) 393-2981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
587
OR
133V00000X
Registered Dietitian
888970
—
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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