Individual
MRS. KORINNE LYNN MCVEETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1311
(503) 769-4380
(503) 769-8563
Mailing address
5225 TANOAK AVE SE, SALEM, OR 97306-1607
(503) 383-8095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
704
OR
Other
Enumeration date
01/04/2007
Last updated
07/09/2007
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