Individual
INGE DAESCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
523 SE WASHINGTON STREET, DALLAS, OR 97338-2834
(503) 623-7307
Mailing address
1810 BULLEVARD, PHILOMATH, OR 97370-9538
(541) 929-4773
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
276
OR
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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