=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417813734
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA VINCENT-OCONNOR BS, RDN, CPC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/30/2025
-----------------------------------------------------
Last Update Date | 12/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8 MARSHALL ST
-----------------------------------------------------
City | DAVENPORT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99122-5165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-981-8777
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 MARSHALL ST
-----------------------------------------------------
City | DAVENPORT
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99122-5165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-981-8777
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174H00000X
-----------------------------------------------------
Taxonomy Name | Health Educator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | 874927
-----------------------------------------------------
License Number State |
-----------------------------------------------------