Organization
RUBY SLIPPERS WELLNESS
Active
Other names
The Well-Bean, Ruby Health and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
LYNAE ADRIEN SMITH RD (OWNER)
(541) 497-3885
Entity
Organization
Contact information
Practice address
581 W 17TH AVE, EUGENE, OR 97401-3816
(541) 497-3885
(844) 517-6506
Mailing address
581 W 17TH AVE, EUGENE, OR 97401-3816
(541) 497-3885
(844) 517-6506
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500726016
—
OR
Enumeration date
02/13/2017
Last updated
08/04/2020
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