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Individual

JESSE RAY HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, RDN, CD

Contact information

Practice address
5940 ULALI DR NE, KEIZER, OR 97303-1500
(503) 304-5738
(503) 304-5725
Mailing address
5940 ULALI DR NE, KEIZER, OR 97303-1500
(503) 304-5738
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10179690
OR
133V00000X
Registered Dietitian
DI60506429
WA

Other

Enumeration date
10/20/2014
Last updated
12/27/2021
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