Organization
LORI S. BRIZEE PEDIATRIC NUTRITION CONSULTATION LLC
Active
Other names
Central Oregon Nutrition Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI S BRIZEE RD, LD (REGISTERED DIETITIAN, OWNER)
(541) 306-6801
Entity
Organization
Contact information
Practice address
516 SW 13TH ST, SUITE 101, BEND, OR 97702-3206
(541) 306-6801
(541) 312-4670
Mailing address
61456 ELDER RIDGE ST, BEND, OR 97702-1193
(541) 788-2625
(541) 312-4670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD000706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028359
—
OR
Enumeration date
06/10/2014
Last updated
06/10/2014
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