Individual
DANA BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 773-3863
Mailing address
900 E MAIN ST, MEDFORD, OR 97504-7136
(541) 773-3863
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10208064
OR
Other
Enumeration date
05/06/2020
Last updated
08/13/2020
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