Individual
MRS. SAMANTHA RIESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
652 OAK ST, ASHLAND, OR 97520-1259
(515) 681-9595
Mailing address
652 OAK ST, ASHLAND, OR 97520-1259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86197743
CO
133V00000X
Registered Dietitian
Primary
LD-D-10237489
OR
Other
Enumeration date
01/19/2024
Last updated
12/06/2024
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