Organization · Type 2 NPI

Advanced Nutrition LLC

Registered Dietitian · Medford, OR

NPI number 1063309359 Active

Practice location

843 E Main St Ste 303
Medford, OR 97504-7137

Fax (541) 972-8826

Mailing address

16 Geneva St
Medford, OR 97504-7110

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1063309359

Advanced Nutrition LLC's National Provider Identifier is 1063309359, issued on Jun 20, 2025. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Medford, OR. The record was last updated on Dec 4, 2025.