Brian Scott Hakes, DIETICIAN

NPI #1104944057 in Lebanon, Oregon

Provider Information

NPI Number: 1104944057
Entity Type: Individual
Name: Brian Scott Hakes, DIETICIAN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: DIETICIAN
Enumeration Date: Mar 27, 2007
Last Updated: Dec 5, 2014

Practice Location

Address: 32675 MERRILL LN
City: Lebanon
State: Oregon
ZIP Code: 97355-8817
Phone: (541) 409-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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