Individual
LOREN A ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD CD
Contact information
Practice address
200 NAT WASHINGTON WAY, EPHRATA, WA 98823-1997
(463) 150-9754
Mailing address
3545 17TH WAY SE, OLYMPIA, WA 98501-2935
(208) 964-3120
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60895803
WA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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