Individual
AMANDA CLAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(217) 653-7194
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(217) 653-7194
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
821
OR
Other
Enumeration date
04/09/2008
Last updated
02/09/2009
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