Individual
MS. MAKENA WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1253 NW HARTFORD AVE UNIT 2, BEND, OR 97703-2488
(208) 640-3842
Mailing address
1253 NW HARTFORD AVE, BEND, OR 97703-2488
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10186641
OR
Other
Enumeration date
11/13/2017
Last updated
04/18/2018
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