Individual provider · Type 1 NPI

Molly Jane Haynes, RD, LD

Registered Dietitian · Portland, OR

NPI number 1124274964 Active

Practice location

7201 N Interstate Ave
Portland, OR 97217-5523

Fax (503) 286-6881

Mailing address

2633 SE 67th Ave
Portland, OR 97206-1218

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X548 (OR)

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 1124274964

Molly Jane Haynes, RD, LD's National Provider Identifier is 1124274964, issued on Aug 12, 2008. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Portland, OR. The record was last updated on Aug 12, 2008.