Individual
CASSANDRA DAWN JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1475 MOUNT HOOD AVE, WOODBURN, OR 97071-9066
(971) 983-5337
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(971) 983-5337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-000975
OR
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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