Individual
MICHELLE D STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5963 SPRINGCREST WAY, KLAMATH FALLS, OR 97603-7159
(541) 205-3220
Mailing address
5963 SPRINGCREST WAY, KLAMATH FALLS, OR 97603-7159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
885
OR
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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