Individual
MISS COURTNEY DENISE MERCIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3509 NW SAMARITAN DR, CORVALLIS, OR 97330-3893
(541) 768-4664
Mailing address
162 SE RIVERGREEN AVE, CORVALLIS, OR 97333-9247
(916) 509-1741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86107617
—
OR
Enumeration date
10/21/2022
Last updated
10/21/2022
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