Individual
MRS. MARCIE DODGE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5102
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-5102
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
487
OR
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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