Individual
REBECCA JANE MCCARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE PPV 05, PORTLAND, OR 97239-3011
(503) 346-0425
Mailing address
282 SW 105TH TER, PORTLAND, OR 97225-6983
(208) 309-0173
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10154553
OR
133V00000X
Registered Dietitian
D-397
ID
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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