| NPI | 1104907609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L SPIVA Dietitian/Owner 541-245-0713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 366) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-23 |