Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LYNN FELLY, RD
Active Sole ProprietorJESSICA LYNN FELLY, RD is a Registered Dietitian healthcare provider located in TIGARD, Oregon. NPI 1104442409 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · TIGARD, OR
Registration Details
- NPI Number
- 1104442409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 23, 2020 (6.1104990796273 yrs)
- Last Updated
- Jun 29, 2020
- License
-
10171604 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7358 SW DURHAM RDTIGARD, OR, 972247307Browse OR providers · Browse ZIP 97224
- Phone
- 5036289241
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in TIGARD, OR
| Name | Credential | NPI |
|---|---|---|
| CAROLE L MATIACO | RD, LD | 1700149580 |
| CONNIE L LIAKOS | RD, LD | 1083979454 |
| KARINA ANN INOUYE | RD | 1275147670 |
| SARA LYNNE STANTON | RDN | 1265386437 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.