Individual
CORY RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
1756 PAIR A DICE RANCH RD, JACKSONVILLE, OR 97530-9238
(415) 361-0522
Mailing address
PO BOX 367, JACKSONVILLE, OR 97530-0367
(415) 361-0522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
87-1628335
CA
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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