Healthcare Provider Details

I. General information

NPI: 1922126747
Provider Name (Legal Business Name): SHERRY ANN DELL PHD, CN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4130 SUMMITVIEW DR
HOOD RIVER OR
97031-8802
US

IV. Provider business mailing address

4130 SUMMITVIEW DR
HOOD RIVER OR
97031-8802
US

V. Phone/Fax

Practice location:
  • Phone: 888-830-4004
  • Fax: 888-830-4004
Mailing address:
  • Phone: 888-830-4004
  • Fax: 888-830-4004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number000239
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: