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Organization

LOVE YOURSELF NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY MOFFATT RDN (OWNER/REGISTERED DIETITIAN)
(541) 908-5126
Entity
Organization

Contact information

Practice address
20879 DANIEL DUKE WAY, BEND, OR 97701-7025
(541) 908-5126
(458) 292-1756
Mailing address
20879 DANIEL DUKE WAY, BEND, OR 97701-7025
(541) 908-5126
(458) 292-1756

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/12/2026
Last updated
03/12/2026
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