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NPI Code Detail

MEDICARE: ERIN KATHLEEN GREENBERG MS, CN

MEDICARE:   ERIN KATHLEEN GREENBERG  MS, CN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133NN1002XNutrition Education NutritionistNU.61475169WA

General Provider Information

NPI Number : 1396580528
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN KATHLEEN GREENBERG MS, CN
Provider Business Mailing Address
First Line : 3655 W 13TH AVE APT 336
Second Line :
City : EUGENE
State : OR
Zip : 97402-3485
Country : US
Telephone Number : 541-632-5608
Fax Number :
Provider Business Practice Location Address
First Line : 3655 W 13TH AVE APT 336
Second Line :
City : EUGENE
State : OR
Zip : 97402-3485
Country : US
Telephone Number : 541-632-5608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2024
Last Update Date : 06/28/2024

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Directions to “ ERIN KATHLEEN GREENBERG MS, CN” Practice Location

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