Individual
MISS BROOKE DANIELLE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4523
(541) 812-4004
Mailing address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4523
(541) 812-4004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-10194435
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86068920
COMMISSION ON DIETETIC REGISTRATION
OR
Enumeration date
02/08/2019
Last updated
02/08/2019
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