Healthcare Provider Details

I. General information

NPI: 1164583498
Provider Name (Legal Business Name): CYNTHIA RIES MEIER RD LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1572 HAPPY LN
EUGENE OR
97401-1800
US

IV. Provider business mailing address

1572 HAPPY LN
EUGENE OR
97401-1800
US

V. Phone/Fax

Practice location:
  • Phone: 541-954-1713
  • Fax: 541-485-0779
Mailing address:
  • Phone: 541-954-1713
  • Fax: 541-485-0779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number437
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: