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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICCA DAVID HENRY, RDN

Active

MICCA DAVID HENRY, RDN is a Registered Dietitian healthcare provider located in WHITE CITY, Oregon. NPI 1649047952 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · WHITE CITY, OR

Registration Details

NPI Number
1649047952
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2023 (2.6460833222585 yrs)
Last Updated
Dec 6, 2023

Practice Information

Address
8495 CRATER LAKE HWY
MAIL STOP: 120
WHITE CITY, OR, 97503
Browse OR providers · Browse ZIP 97503
Phone
5418262111
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in WHITE CITY, OR

Name Credential NPI
SHARON KALVELS MS,RD,CHE 1245244581
MR. JIM FIGONE R.D. 1336284322
VIRGINIA H HAWKER RD 1508992322
KATHERINE MARYA DODD MS, RD, CSG, LD 1770737900
SIMONE GILLINGHAM RD, LD 1942619465
CHRISTINA C LOWE RDN, LD, CEDRD 1356901896
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.