Individual
ANDREA SUE BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
354 NE GREENWOOD AVE STE 212, BEND, OR 97701-4632
(360) 265-4754
(541) 833-6665
Mailing address
2660 NE HIGHWAY 20 STE 610-26, BEND, OR 97701-6402
(360) 265-4754
(541) 385-4987
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
708
OR
133V00000X
Registered Dietitian
Primary
LD-D-000708
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500665841
—
OR
Enumeration date
03/03/2008
Last updated
06/04/2025
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