Individual
JANET G. MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
619 MADISON ST, SUITE 102, OREGON CITY, OR 97045-2332
(503) 650-3801
(503) 650-7002
Mailing address
19900 MEYERS RD, OREGON CITY, OR 97045-8922
(503) 650-3801
(503) 650-7002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
55
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300211501
REGENCE BCBS
OR
05
—
500625749
—
OR
01
—
611402115
TAX ID MOST INSUR PLANS
—
01
—
825321000
REGENCE BCBS
OR
Enumeration date
04/13/2006
Last updated
10/19/2016
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