Optimal Balance

NPI 1225100332 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1225100332
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LYNNE LYNNE
Position OWNER
Phone (541) 388-9261
Fax
Practice Location
2676 NW PICKETT CT
BEND OR, 97701-6807, US
Phone (541) 388-9261
Fax
Business Location
2676 NW PICKETT CT
BEND OR, 97701-6807, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Oregon
License Number 653
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According to our database, Optimal Balance NPI is 1225100332, taxonomy code is 133V00000X and license number is 653, license state is located at Oregon. Optimal Balance physically located at 2676 Nw Pickett Ct, Bend OR, 97701-6807. NPI Number 1033115704 has the healthcare provider type.

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1225100332 NPI number is provided on an as is basis without warranty of any kind. 1225100332 is maintained by the National Plan & Provider Enumeration System. The contents of Optimal Balance are for informational purposes only.