Individual
RACHEL TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3517
(541) 667-3501
Mailing address
610 NW 11TH ST, HERMISTON, OR 97838-6601
(541) 667-3517
(541) 667-3501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD10180961
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LDD10180961
REGISTERED DIETITIAN
OR
Enumeration date
01/04/2017
Last updated
01/04/2017
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