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General NPI Number Information
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NPI Number | 1982014429
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Entity Type | Individual
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Provider Name | BROOKE SEIBERT MS, RDN
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 3125B NE HOLLADAY ST
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City | PORTLAND
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State | OR
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Zip | 97232-2504
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Country | US
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Telephone | 971-361-8250
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Fax |
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Provider Business Mailing Address
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Address Line | 420 NE BIRCH ST APT 206
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City | CAMAS
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State | WA
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Zip | 98607-2162
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Country | US
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Telephone | 971-361-8250
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 60851226
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1076966
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 10224546
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1397
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License Number State | ND
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2022048444
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 0871
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License Number State | SD
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Taxonomy #7
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164.009153
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 37003949A
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License Number State | IN
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