Individual
MS. KIRSTEN GRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 228-3022
(541) 228-3181
Mailing address
2650 SUZANNE WAY STE 200, EUGENE, OR 97408-7619
(541) 228-3022
(541) 228-3181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0902-9189
CERTIFIED DIABETES ED.
OR
01
—
16751
REGISTERED DIETITIAN
OR
Enumeration date
07/26/2006
Last updated
07/09/2007
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