Individual
JOAN M TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 997-9650
Mailing address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 997-9650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
280
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100234
—
OR
01
—
280
STATE LICENSE
OR
Enumeration date
08/31/2006
Last updated
12/22/2009
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