Individual
MS. JOANNA WOLVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDCES
Contact information
Practice address
2630 CAMPUS DR, KLAMATH FALLS, OR 97601-1105
(541) 274-2633
(541) 274-2005
Mailing address
2630 CAMPUS DR, KLAMATH FALLS, OR 97601-1105
(541) 274-2633
(541) 274-2005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10160301
OR
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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