Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KOHLEEN E ERVIN, RD, CSR, LD
Active Sole ProprietorKOHLEEN E ERVIN, RD, CSR, LD is a Renal Nutrition healthcare provider located in REDMOND, Oregon. NPI 1760971246 is currently active in the NPPES registry. Verify at CMS.
Renal Nutrition · REDMOND, OR
Registration Details
- NPI Number
- 1760971246
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2018 (8.2880516236223 yrs)
- Last Updated
- May 9, 2018
- License
-
LD-D10161414 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
916 SW 17TH ST STE 100REDMOND, OR, 977562572Browse OR providers · Browse ZIP 97756
- Phone
- 5415482778
- Primary Specialty
-
Renal Nutrition
133VN1005X
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.