Individual
MRS. JODY LOUISE BABSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
24700 SE STARK ST, SUITE A8, GRESHAM, OR 97030-3377
(503) 674-1254
(503) 674-1267
Mailing address
24700 SE STARK ST, SUITE A8, GRESHAM, OR 97030-3377
(503) 674-1254
(503) 674-1267
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
327
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N/A
—
OR
Enumeration date
03/15/2006
Last updated
07/08/2007
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