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MS. HEIDI KAT LIVINGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRDN

Contact information

Practice address
200 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 435-0597
(503) 435-0862
Mailing address
2400 E HAWORTH AVE APT 7, NEWBERG, OR 97132-1392
(503) 890-9822
(866) 491-2808

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
312950
OR
133VN1005X
Renal Nutrition Registered Dietitian
Primary
86011974
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
312950
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
312950
OREGON HEALTH LICENSING, BOARD OF LICENSED DIETITIANS
OR
01
86011974
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
07/19/2016
Last updated
08/15/2023
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