Individual
JODI RAE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E
Contact information
Practice address
519 15TH ST, OREGON CITY, OR 97045-1448
(503) 650-6822
(503) 650-6876
Mailing address
519 15TH ST, OREGON CITY, OR 97045-1448
(503) 650-6822
(503) 650-6876
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
674
OR
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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