Simone Gillingham, RD, LD

NPI #1942619465 in White City, Oregon

Provider Information

NPI Number: 1942619465
Entity Type: Individual
Name: Simone Gillingham, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Aug 8, 2014
Last Updated: Aug 8, 2014

Practice Location

Address: 8495 CRATER LAKE HWY
Address 2: MAIL STOP 10
City: White City
State: Oregon
ZIP Code: 97503-3011
Phone: (541) 826-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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