Healthcare Provider Details

I. General information

NPI: 1487769402
Provider Name (Legal Business Name): PAULA J. PARTLOW R.D., L.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 N LEE AVE STE 300
OKLAHOMA CITY OK
73103-2620
US

IV. Provider business mailing address

1111 N LEE AVE STE 300
OKLAHOMA CITY OK
73103-2620
US

V. Phone/Fax

Practice location:
  • Phone: 405-231-8740
  • Fax: 405-231-8714
Mailing address:
  • Phone: 405-231-8740
  • Fax: 405-231-8714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1328
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: