Organization
OPTIMAL BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNNE OLDHAM (OWNER)
(541) 388-9261
Entity
Organization
Contact information
Practice address
2676 NW PICKETT CT, BEND, OR 97701-6807
(541) 388-9261
Mailing address
2676 NW PICKETT CT, BEND, OR 97701-6807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
653
OR
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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