Individual
KATHLEEN BOXX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
499 1ST ST, MAUPIN, OR 97037-9250
(541) 460-8830
Mailing address
PO BOX 118, MAUPIN, OR 97037-0118
(541) 460-8830
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
10204498
OR
Other
Enumeration date
12/26/2019
Last updated
02/28/2024
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