Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKIE LYNN BROWN, RDN
ActiveOncology Nutrition · PORTLAND, OR
Registration Details
- NPI Number
- 1902528516
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 12, 2022 (3.6085701444602 yrs)
- Last Updated
- Sep 12, 2022
- Licenses
-
000587 (OR)000587 (OR)
Practice Information
- Address
-
GARDEN LEVEL4805 NE GLISAN STPORTLAND, OR, 97213Browse OR providers · Browse ZIP 97213
- Phone
- 5032156029
- Fax
- 5032156387
- Primary Specialty
-
Oncology Nutrition
133VN1301X
- Additional Specialty
- Oncology Nutrition
Other Oncology Nutrition Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| AUDREY FERGUSON | R.D.N. | 1619343993 |
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.