Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BREANNA WILSON, MS, RD, LD
ActiveBREANNA WILSON, MS, RD, LD is a Registered Dietitian healthcare provider located in TROUTDALE, Oregon. NPI 1760737837 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · TROUTDALE, OR
Registration Details
- NPI Number
- 1760737837
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2012 (14.039641878387 yrs)
- Last Updated
- Jan 29, 2020
- Licenses
-
LD-D-10167267 (OR)1003583 (VA)1003583 (OR)
Practice Information
- Address
-
612 SW 25TH CIRTROUTDALE, OR, 970601891Browse OR providers · Browse ZIP 97060
- Phone
- 7752303787
- Primary Specialty
-
Registered Dietitian
133V00000X
- Additional Specialty
- Registered Dietitian
- Additional Specialty
- Registered Dietitian
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.