Healthcare Provider Details

I. General information

NPI: 1396043709
Provider Name (Legal Business Name): INEKE M. OJANEN R.D,, C.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 03/03/2023
Certification Date: 03/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2036 NE WILLIAMSON CT
BEND OR
97701-3771
US

IV. Provider business mailing address

PO BOX 6095
BEND OR
97708-6095
US

V. Phone/Fax

Practice location:
  • Phone: 541-382-4321
  • Fax: 541-706-2918
Mailing address:
  • Phone: 541-706-5922
  • Fax: 541-706-5922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDI60159787
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberD10219335
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: