MEDICARE: ALISHA JUSTINE MURPHY RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD-D-10222617	OR

General Provider Information

NPI Number	:	1538982277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISHA JUSTINE MURPHY RDN

Provider Business Mailing Address
First Line	:	931 SW JOSEPH AVE
Second Line	:
City	:	HERMISTON
State	:	OR
Zip	:	97838-7454
Country	:	US
Telephone Number	:	360-320-8330
Fax Number	:

Provider Business Practice Location Address
First Line	:	13112 MOSS RANCH LN
Second Line	:
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3524
Country	:	US
Telephone Number	:	703-705-2720
Fax Number	:	541-470-5007

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2024
Last Update Date	:	11/01/2024

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