Alicia Evans, RD, LD, CSR

NPI #1790592962 in Lebanon, Oregon

Provider Information

NPI Number: 1790592962
Entity Type: Individual
Name: Alicia Evans, RD, LD, CSR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD, CSR
Enumeration Date: Dec 11, 2024
Last Updated: Dec 11, 2024

Practice Location

Address: 665 N 5TH ST
City: Lebanon
State: Oregon
ZIP Code: 97355-2875
Phone: (541) 258-3012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Renal — Nutrition, Renal	133VN1005X
Dietitian, Registered	133V00000X	Primary

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