Individual
JAYNE ELLEN ZOOK HECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
19464 SE 362ND DR, SANDY, OR 97055-9286
(541) 350-5259
Mailing address
PO BOX 944, SANDY, OR 97055-0944
(541) 350-5259
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10203258
OR
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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