Individual
MS. DARCY DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., CDE
Contact information
Practice address
537 SE VISTA DR, NEWPORT, OR 97365-4210
(541) 270-5237
(541) 574-7986
Mailing address
537 SE VISTA DR, NEWPORT, OR 97365-4210
(541) 270-5237
(541) 574-7986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
205
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05462304
REGENCE BCBS
OR
01
—
1037979
AM SPECIALTY HEALTH
OR
01
—
269604
PACIFICSOURCE
OR
01
—
276862
OMAP-MATERNAL CASE MGMT
OR
01
—
483-82-53904
ODS@VENUTO
OR
Enumeration date
05/20/2006
Last updated
07/08/2007
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