Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANNE MARIE DENOTTER, RD, CSG, LD
ActiveGerontological Nutrition · PORTLAND, OR
Registration Details
- NPI Number
- 1215470331
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 21, 2016 (9.4167894420452 yrs)
- Last Updated
- Oct 25, 2019
- License
-
LD-D-10176117 (OR)
Practice Information
- Address
-
13007 NE GLISAN STPORTLAND, OR, 972302545Browse OR providers · Browse ZIP 97230
- Phone
- 5032153484
- Primary Specialty
-
Gerontological Nutrition
133VN1101X
- Additional Specialty
- Gerontological Nutrition
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.