Individual
RISE RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 COBURG RD STE 201, EUGENE, OR 97401
(541) 485-3636
(541) 344-4305
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(541) 278-4332
(541) 278-8332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD10174002
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86055261
LDD10174002
—
Enumeration date
01/26/2016
Last updated
04/17/2019
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