Individual
JILL R MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1536
Mailing address
10983 SW BROWN ST, TUALATIN, OR 97062-8370
(503) 639-1973
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
855552
OR
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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