Individual
DENISE R CEDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON HOSPITAL--PHELPS ANNEX, SILVERTON, OR 97381-1917
(503) 873-1560
(503) 874-2483
Mailing address
342 FAIRVIEW ST, SILVERTON HOSPITAL--PHELPS ANNEX, SILVERTON, OR 97381-1917
(503) 873-1560
(503) 874-2483
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
170
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170
OREGON LICENSED DIETITIAN
OR
01
—
711758
REGISTERED DIETITIAN REGISTRATION NUMBER
OR
Enumeration date
12/04/2006
Last updated
04/24/2012
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