Individual
ERIS CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
712
OR
133V00000X
Registered Dietitian
896925
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00887736
MEDICARE RAILROAD
OR
05
—
500601996
—
OR
Enumeration date
03/22/2007
Last updated
03/04/2011
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