Individual
MS. VIRGINIA RUTH TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1813 W HARVARD AVE, STE 427, ROSEBURG, OR 97471-8712
(541) 784-5966
Mailing address
1866 NE KLAMATH AVE, ROSEBURG, OR 97470-3554
(541) 784-5966
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
811605
—
Other
Enumeration date
09/20/2006
Last updated
09/16/2022
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