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

CAROLE L MATIACO, RD, LD

Active

CAROLE L MATIACO, RD, LD is a Registered Dietitian healthcare provider located in TIGARD, Oregon. NPI 1700149580 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · TIGARD, OR

Registration Details

NPI Number
1700149580
Provider Type
Individual
Gender
Female
NPI Issued
Jun 18, 2012 (14.125162892407 yrs)
Last Updated
Mar 27, 2015
License
000965 (OR)

Practice Information

Address
15895 SW 72ND AVE
SUITE 250 BLDG B
TIGARD, OR, 972247977
Browse OR providers · Browse ZIP 97224
Phone
5036245630
Fax
5036249149
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in TIGARD, OR

Name Credential NPI
CONNIE L LIAKOS RD, LD 1083979454
JESSICA LYNN FELLY RD 1104442409
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.